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0~/27/200~ 13:18 541--484-4942 EUGENE CMAMBER PAGE 04 <br /> <br /> _pc 2, <br /> Am®ndments-¢ash Contributions, Loans Received and In-Kind <br /> Candidate or Political Co~nittee N~me: ~:~f, Cf~ ~~ Co~i~ee ID Number: <br /> <br /> Election: ~PHm~ 20 ~ ~ O~ 20 ..... ~ O~ <br /> R~o~: ~ 1st Pre-elecfio~ ~ 2nd Pre-election ~ Post. el~on .... ~.? S~tem~ Supplem~ml <br /> SEE BACK FOR ~STRUCTIONS ~D CODE DEF~IONS <br /> <br /> ~O~ ~: Contributor Typ~ COD~ ~: Contribution T~ <br /> B Bus.ess ~fi~ CA Cash <br /> C Political Co~inee (includes bminess and ~ion PACs) CO Cosi~er Obliga6oo <br /> F C~di~te's Imediste F~ly (includes mdidate) IK In-~nd <br /> I In~vidual LR Lo~ Received <br /> L Mbor <br /> O Other <br /> P Political P~ Co~i~ <br /> A~iM PMe ~ Name a~ Address of Co~butor A~unt of In.~nd Pu~e <br /> a~ Line ~ Cont~b~on (see manuel for sugge~ pu~se <br /> ~u~al In~aUon or ContSbutor <br /> Date Receded Contdb~ing Commt~ee's I~ Aggmge~ C~e 1 i .C~e 2 <br /> <br /> 0 ca~lng <br /> ~ O~l~t~ng <br /> <br /> ~ ,,, <br /> 0 N~ ~ $ <br /> ~ Oele~n9 <br /> <br /> Page.~ Llne~ <br /> ~ N~ Ent~ $ <br /> ~ Deleting .... <br /> $ <br /> <br /> ~ N~ Ent~ <br /> <br /> ~ ~el~mg <br /> -' $ <br /> <br /> Sec FOR OFFICE USE ONLY <br /> ~s~ct[o~s <br /> De ~ack a~d <br /> in Campai~a ~ - <br /> Financ~ Si~a~r¢ surer <br /> <br /> Amen~ent <br /> <br /> <br />