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Candidate or Potincal Co~ee Name: Co~i~ee ~D Number: <br /> <br />E!ecnon: ~ Pnmaw 20 O q ~ General 20 ~ Other <br />Repo~: ~ 1st Pre-election ~ 2nd Pre-election ~ Post-elecnon ~ 20 _ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS ~D CODE DEFINITIONS <br /> <br /> COD~ ~: Contributor Type CODE 2: Contribution Type <br /> B Business EntiW CA Cash <br /> C Pohtical Co~i~ee (includes business and union PACs) CO Cos~gmer Obhgatzon <br /> F CandMate's Immediate Family (includes c~didate) [K In-Kind <br /> ~ Individual LR Loan Recmved <br /> L Labor 0rganJzatJon <br /> 0 Other <br /> P PolJncaI Pa~ Commi~ee <br /> <br /> Amount of In-Kind Purpose <br /> Dne ~ Name and Address of Contributor Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational informat~on or Contributor Code ~ Code 2 <br /> Contributing Commi~ee~ tD~ Aggregate <br /> <br /> $ <br /> <br /> See Page Totals (Add all amounts with the same Aeeo~nd~g Period Totals (Complete only for last page and <br /> Instructions conmbution ~e. Do not ~nclude aggregates.) ~ansfer ~ese amounts to <br /> on Back and ~ %¢ Cash (CA} <br /> m C~palgn Cash (CA) <br /> Emer on <br /> <br /> Manual In-K~nd (iK) $ _n-l<~nd <br /> <br /> PC 2 Loans Received (LR) S Lo2ns <br /> <br /> <br />