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04/1212004 13:40 54~--484-4942 EUGENE ~H~MBER P~GE 05 <br /> <br /> Cash Contributions, Loans Received and In-Kind <br /> <br /> Candidate or Political Committee Name: Committee ID Number: <br /> <br /> Election: [] Primary 20 [] General 20, [] Other <br /> Report: ~ let Pre-election [] 2nd Pre-election [] Post-election [] 20 Sept~raber Supplemental <br /> <br /> SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Ca~h <br /> C Political Committe~ (includes business and union PACs) CO Cosigner 0bIigation <br /> F Candidate's Immediate Family (i-eludes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> 0 0~ <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpo$$ <br /> Line # Name and Address of Contributor Contribution (s~ manual for suggested purpose codes) <br /> Occupational Information or Contributor <br /> Date Received Contributing Committee's IDtt A~gregate Code I ~ Code 2 <br /> <br /> I OC) ,0 ~ <br /> <br /> 5. <br /> <br /> Se~ Pail Totals (~dd all amounts ~ith The same Accoun~ng Period Totals (Complct~ only for I~[ page and <br /> I~st~ctions cont~bufion ~. Do not include aggregates ) ~fer ~ese amounts to ~ Su~a~ S~tement, PC I.) <br /> on Back ~d <br /> in Campai~ C~h (CA) $ tO~, ~ Cash (CA) $ _ <br /> Fi~c~ Enter <br /> Manual In-Kind (IK) $ In-Cad (IK) $ <br /> Emir on <br /> <br /> PC 2 Loans Received (LR) S Loans Received (LR) $ <br /> Enter on Summary Stat=m~nt. Column ^, Linc 2 <br /> <br /> <br />