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PC £ &mendmcnt <br /> Amendments-Cash Contributions, Loans Received and In-Kind 1203 <br />Can&date or Political Committee Name: Committee ID Number: <br />Tom Slocum for City Council Page I of_5 <br /> <br />Election: ~ Primary 200_j4 [] General 20__ [] Other __ <br />Report: [] 1 st Pre-election ~ 2nd Pre-election [] Post-election [] 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br />B Business Entity CA Cash <br />C Political Committee (.includes business and umon PACs) CO Cosigner Obliganon <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 />Amending Page # Name and Address of Contributor Amount of In-Kind Purpose <br />and Line # Contribution (see manual for suggested purpose codes,) <br /> <br /> Date Received Occupational Information or Contributor Code 1 Code 2 <br /> Contributing Committee's ID# Aggregate <br />Page ~ Une ~ Chambers Construction <br />[] New Entry 2295 Coburg Road Suite 100 $ 500,00 <br />[] Correcting <br />[] Delebng Eugene, OR 97401 <br /> <br /> 04/02/04 Construction $ 500.00 B CA <br /> <br /> Page. Line <br /> <br /> [] New Entry $ <br /> [] Correcbng <br /> [] Deleting <br /> <br /> $ <br /> <br /> Page[ Due <br /> [] New EntW $ <br /> [] Correcting <br /> [] Deleting <br /> <br /> $ <br /> <br />Page~__ Line <br /> <br />El New Entry <br />[] Correcting <br />E] Deleting <br /> <br /> Page Line <br /> <br />El New Entry <br />El Correcting <br />El Deleting <br /> <br /> Instructions <br /> on Back and L~ <br /> in Campaign <br /> Finance Signature of candidate or treasurer <br /> Manual <br /> <br /> Amendment Date s~gned <br /> <br /> <br />