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PC 2 An~endmcnt <br /> Amendments-Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Political Committee Name: Committee iD Number: <br />Tom Slocum for City Council Page 3 of 5 <br /> <br />Elecnon. ~1 Primary 200__4_ [] General 20__ [] Other __ <br />Report: [] I 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 Enfi~' CA, Cash <br /> C Political Committee (includes business 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 Cormnittee <br /> Amending Page # Name and Address of Contributor Amount of In-Kind Purpose <br /> and Ltne# Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Co,r~tnbutor Code ~ I Code 2 <br /> Date Received Contnbuttng Committee's ID~ Aggregate <br /> <br />Page f~ Line~; George Myrmo <br />[] New Entry 2323 Shields $ 100.00 <br />[] Correcting <br />[] Deleting Eugene, OR 97405 <br /> <br /> 04/13/04 Machine Shop Owner $ 100.00 B <br /> CA <br /> <br /> Page___ L~ne.___ <br /> [21 New Entry $ <br /> Cl Correcting <br /> C] Deleung <br /> <br /> Pag~ L,ne____ <br />[] New Entry <br />[] Correct, ng <br />[] Deleting <br /> <br /> $ <br /> <br /> Page___ L~ne <br /> [] New Entry $ <br /> [] Correcting <br /> [] Deieung <br /> <br /> Page__. Line <br /> <br /> D New Entry <br /> g Correcbng <br /> E~ Deleting <br /> <br /> $ <br /> <br /> on Back and <br /> in Campmgn Signature of candidate or treasurer ~,4 ~,? : ~' ~" ~; <br /> Manual <br /> <br /> Amendment Date signed <br /> <br /> <br />