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?C 2 <br /> Cash Contributions, Loans Received and In-Kind <br />Candidate or Pohtmal Committee Name: Committee ID Number: <br />Tom Slocum for City Counci~ Page 1 of 5 <br /> <br />Elect~on: [] Primary 2004 E~] General 20__ E] Other __ <br />Report: [] I st Pre-election [] 2nd Pre-election [] Post-electron E] 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRLTCTIONS AND CODE DEFINITIONS <br /> CODE l: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Cmrmfittee (includes bus/ness and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor Code 1 I Code 2 <br /> Date Received Contributing Comm~ee's tD~ Aggregate <br /> <br /> Chambers Construction <br /> 1. 2295 Coburg Road Suite I00 $ 500.00 <br /> Eugene, OR <br /> <br /> 04t01/04 Construction $ 500.00 B <br /> CA <br /> <br /> Cascade Title Company <br /> 2. 811 Willamette Street $ 500 00 <br /> Eugene, OR 97401 <br /> <br /> 04/15/04 Title Company $ 500.00 B <br /> CA <br /> <br /> J.B. Buller Reatty Company <br /> 3. 3309 Antigua Drive $ 250.00 <br /> Eugene, OR 97408 <br /> <br /> 04~20~04 Real Estate Broker $ 250.00 B CA <br /> <br /> Rexlus Forest By-Products <br /> 4. PO Box 2276 $ 200 00 <br /> Eugene, OR 97402 <br /> <br /> 04/02/04 Forest By Products Business $ 200 00 B CA <br /> <br /> J.P. Hammer Property AccL <br /> 5. Po Box 2266 $ 200.00 <br /> Eugene, OR 97402 <br /> 04/10/04 Investment Company $ 200.00 B CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> Instructions contribution type. Do not include aggregates.) transfer these amounts to the Surmmary Statement, PC i,) <br /> <br /> on Back and Cash (CA) $1,650,00 Cash (CA) $ _ <br /> Ln Campaign Enter on Summa~' Stateroom. (_ olunm A. Line 1 <br /> Fmance <br /> Manual In-Kind (IK) $ 0 00 In-Kind (IK) $ __ <br /> Lnter on Summary Statement. Colunm A. Lines 4 and 9 <br /> <br /> PC 2 Loans ReceiYed (LR) $ 0.00 Loans Received (LR) $ __ <br /> Fnt~.r on Sunmur2, StatsmenL ( olurral A Line 2 <br /> <br /> <br />