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_.05/0~/2004 10:31 541--484-4942 EUGENE ~M~ER PAGE 06 <br /> <br /> Other Disbursements <br /> <br /> C~did~ or Political Commitlee N~m*: ~~ ~ Numbs: <br /> <br /> ~epon: ~ 1 st ~e~lection ~nd ~lection ~ Pod-elation ~ 20 S~mb~ Supplem~l <br /> SEE BACK FO~ INSTRUCTIONS ~ CODE DE~I~ON8 <br /> <br /> Other Dlsbu~emeut <br /> <br /> EL Ex.pt Lo~ Pa~t <br /> <br /> N~ism Acfi~V <br /> <br /> OM M~cell~eo~ ~ro~de a des~pfiou) <br /> <br /> ~m or Re~d of Con~bufio~ <br /> <br /> Payee'~ Name Other Disbursement Offer Disbursement <br /> /jne # Date Check # fmquired for codes EL, OM and RT; Trenaection Type Amount <br /> optional for code NP) Code <br /> <br /> 2. $ <br /> <br /> 3, $ <br /> <br /> 4. $ <br /> <br /> 5. $ <br /> <br /> 6, $ <br /> <br /> 8. $ <br /> <br /> 9. $ <br /> <br /> 10, $ <br /> <br /> See Page Totals (Add all amounts for the Other Accounting Period Totals (Complete only for last page and <br /> Instructions Disbursement Transaction Type Codes transfer these amounts to the Summary Statement, PC 1 ,) <br /> on Back and specified.) <br /> in Campaign ~ O~ ~/ <br /> Finance Codes NP, OM, I~T $ Codes NP, OM, KT $ <br /> Manual Enter on Summary Ststcmcnt, Cotumn <br /> Code EL $ Code EL <br /> PC 4~ Enter on <br /> <br /> <br />