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10/20/2004 ~LE,~ 44 641--484-4q42 EUGENE CHAMBEI~ PAGE <br /> <br /> Cash Contributions, Loans Received and In-Kind <br /> <br /> C~date or Po~c~l Co~e N~: Co~e ~D ~b~: <br /> <br /> ~ let ~e-elecfion ~u~Pre-election ~ P~t~l~aon ~ 20~ S~tember Su~lemen~l <br /> SEE BACK FOR ~S~UC~ON$ ~D CODE DEF~ITIONS <br /> <br /> CODE l: Contributor Type CODE 2: Con~buflon Type <br /> B B~iness EnfiW CA C~ <br /> C Political Co~i~ (incl~m business and ~ion PACs) CO Cosi~er Obligation <br /> F C~didate's I~iate Family (includes candidate) IK I~-~nd <br /> I ln~vi~al LR L~ Rec~v~ <br /> L Labor ~afion <br /> O Oth~ <br /> P Political Pa~ Co.flee <br /> Line ~ Ne~ and Addmss of Con~ib~or A~nt ~f In-Ki~ <br /> C~t~b~ion (see manuel ~uggest~ pu~o~ ~es) <br /> <br /> ~te Recelvea Contdb~ Commie's I~ A~mgete C~e 1 I C~e 2 <br /> I <br /> <br /> See Page Tot~ (Add all amounm with ~e same Accounting Period Totals (Co~lete only for last page and <br /> Imtmctions con~bution ~e. Do not ~cludc aggregates.) trmsfcr ~c mourns to th~ S~aw Statement. PC 1.) <br /> on Bsck and <br /> in C~paign Cash (CA) $ ~- On Cash (CA) $ <br /> Fin~ce En~r on Su~ Ststm~h Colu~ A, b~ne <br /> Manual In-Kind (IK) $ In-Kind (IK) $ <br /> <br /> PC 2 Loans R~ceiv~ (LR) $ Loans Recmved (LR) ~ <br /> - Eat~ ~ Su~ Stateroom. Colu~ A, Line <br /> <br /> <br />