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05/18/2884 15:28541--484-4942 EUGENE CHAf,4BER PAGE 01 <br />Supplemem to Second Pre/Post-Election - Contributions <br /> <br /> Candidate or Poi/fica] Committee Name: <br /> Committee <br /> Number: <br /> <br /> l~ie~on: ~Primary 20_~ [] General 20 [] O~er <br /> Report: (~_,lst SuppI. to the 2ud Pre-election [] 2nd Suppl. to the 2nd Pre-election [] Suppl. to Post-election <br /> SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE q: Contrlbutor Type CODE 2: Contribution Type <br /> B Buainess Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes caudidnte) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization PC Pledge of Cash <br /> O Other PI Pledge of In-Kind <br /> P Political Party Committee PL Pledge of Loan <br /> <br /> Une # Name af~d Add~$s of Con~b~o~ Amount of <br /> Contribution In-Kind Purpose <br /> Occupational Information or <br /> Date Received Contributi~ Committee's ID# Cocle II Code 2 (see manual for suggested purpose codes) <br /> <br /> 2, $ <br /> <br /> 3, $ <br /> <br /> 4. $ <br /> <br /> FOR OFFICE USE ONLY <br /> <br /> on Back and ~as~) he.by ce~ ~t ~c abovc statcmcnt ts ~C ~d co~ect, <br /> <br /> -/ CiTY RECORDER <br /> ~C ~& S eas~e% Date <br /> <br /> <br />