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P(. 2 <br /> <br /> Cash Contributions, Loans Received and tn Kind <br /> <br />Can&date or Polmcal Conmortee Name Comrmttee ID Number <br />Tom Sbcum for C~ty Coundt Page_..~ of 5 <br /> <br />EtecUon ~ Pnm~' 20 04 ~ General 20 ~ O~er <br />Report ~ 1 st Pre-elecuon ~ 2nd Pre-elecuon ~ Posbelecuon ~ 20 ....... September Supplemem~ <br /> <br />SEE BACK FOR }NSTRUrCTIONS AN D CODE DE F[NIT[ONS <br /> <br /> CODE 1: Contdb~tor Type CODE 1: Co~dbut~on Type <br /> B Business Ermb CA <br /> C Pohtmat Com~ee 0nctudes business ~d mmon PACs~ CO Cost.er Obhga~on <br /> F Can&date's I~me&a[e F~mly (mctudes c~&date/ 1K B-Knnd <br /> ~ ln&wduM LR Lo?m Rece~ ~, ed <br /> L Labor Org~fizat~on <br /> O Other <br /> P Pohtzcal Pady <br /> <br /> Amount o~ ;r-Kind Pug, ese <br /> Dne ¢ Name and Address of Contributor Contribution (see manual ~cr suggesfed pu¢ose codes) <br /> Occupational Information o~ Contributor C~e f ~ Code 2 <br /> Date Received Conmbut, ng Comm¢~ I~ Aggm.¢ate <br /> <br /> Adze and Company <br /> t. 722 Country Club Rd $ <br /> Eugene. OR 97401 <br /> <br /> 6/1/04 RE Developer $ 6,900 00 B CA <br /> <br /> M~scetiapeous Cash Contnbut~or,s <br /> 2 $50.00 and under $ 160 00 <br /> <br /> M~scellaneous $ 160.00 CA <br /> <br /> 3 $ <br /> <br /> 5 <br /> <br /> See Page Tot,ds (Add all amounts ~th the same Accmmfmg Period To/als (Complete onl;, for last page add <br /> Instructions contnba2-non type Do not k~clude aggregates ~ trim,hr thee amomnts to the <br /> on Back ~d 7,080.00 17,560.00 <br /> m C~pmgn C~h ~CA) $ Cash (CA) <br /> <br /> M~ue3 ln-~nd (IK~ $ 0 00 in-~nd (IK) $ 0 00 <br /> <br /> PC 2 Lo~s Rece~ed (LR~ $ 0 00 Lo~s Received (LR~ $ 2,200 00 <br /> <br /> <br />