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04/12/2004 13:40 541--~8~-49~2 EUGENE CHAMBER PAGE 06 <br /> <br /> Cash Contributions, Loans Received and In-Kind <br /> <br /> Ca~lidatc or Political Committee Name: Co'mmitt~ ID Number: <br /> <br /> Election: [] Primary 20~ [] Gener~120 [] Other <br /> Report: ,~lst Pre-election ._ [] 2nd Pre-el~ction [] Post-election [] 20 September Supplemental <br /> SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Committee (includes business and union PACe) CO Cosigner Obligation <br /> F Candi~te's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> 0 Other <br /> P Political Party Committee <br /> <br /> Une# Name and Address of Contributor Amou~f of In-Kind Purpose <br /> C.o~ntribution (see manuel for suggested purpose codes) <br /> <br /> Date Received Occupational Inforrnetlon or Con~butor <br /> Conttfbuting Committee's IlY~ Aggregate Code I i Code 2 <br /> <br /> Sca Page Totals (Add all amounts with the same Accounting Period Totlls (Complete only for last page and <br /> Instructions contribution t3,pc. Do not include aggregates,) transfer these amounts to thc Summary Statement, PC I,) <br /> on Back and <br /> in Campaign Cash (CA) $ 14 .C~D,(~j~ ff Cash (CA) $ <br /> Fill$.l'lC¢ Eater on Summ~r~ Statement, Cutunm A, Line 1 <br /> Manual In-Kind (IK) $ In-Kind (IK) <br /> Emer on Sutnmao' Statemem, Colu,am A. LLnCS 4 al~d 9 <br /> <br /> PC 2 Loans Received (LR) $ Loans Received (LR) $ <br /> Enter on Summery St~.tement, Column A, L~ne 2 <br /> <br /> <br />