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Cash Contributions, Loans Received and In-Kind ~' ':°J <br /> <br />Can&date or Polxt~cal Comm~ee Name' Committee iD Number <br /> ~ , ~,, ,{: / ~:~ ~ Page ~ of ~ <br /> <br />Repo~ ~ 1st Pre-elect~on ~ 2nd Pre-elect~on ~ P,~st-eled~on ~ 20___ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS ~D CODE DEFINITIONS <br /> CODE ~: Oontdbutor Type CODE 2: Contribution Type <br /> B Business EnUty CA Cash <br /> C Poht~cal Co~t:ee (includes business and umon PACs} CO Cos~g~er Obhgauon <br /> F Candidate's ln~ed~ate Family 0ncludes candidate) IK In-Kind <br /> I Indp:~dual LR Loan Received <br /> L Labor Orgamzatxon <br /> O Other <br /> P Poht~cal Pa~ Committee <br /> Amount of ln-EtnO Puqoose <br /> Dne ~ Name and Address of Contnbutor <br /> Contnbutton (see manual for suggested purpose cedes) <br /> <br /> Date Received Occupational Information or Contributor Code ? Code 2 <br /> Contno~t,ng Comm~ftee's ID~ Aggregate <br /> <br /> <br />