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PC 2 <br /> Cash Coh.cibutions, Loans Receivecl ..nd In-Kind Rev 12/03 <br /> <br />Can&date or Political Committee Name: Committee 1D Number: <br /> <br />Election: ~ Pnmaw 20~ ~ General 20 ~ Other <br />Repom ~ 1 st Pre-election ~ 2nd Pre-election ~ Post-election ~ 20 O~ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE ~: Contributor Type CODE 2: Contribution Type <br /> B Business Enti~ CA Cash <br /> C Political Co~l~ee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's I~edlate Family (includes candidate) IK In-K~nd <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Pa~ Committee <br /> <br /> Amount of In-K/nd Purpose <br /> L/ne ~ Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor Code 1 I Code 2 <br /> Date Received Contributing Comm~ee's I~ Aggregate <br /> <br />0?/o,/o3 ~r;+e~ $ / Zo. oo ~ I <br /> Eva. Li~le <br /> <br /> 4. $ <br /> <br /> 5 $ <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> Instructions contribution type. Do not ~nclude aggregates.) transfer these amounts to the Summary Statement, PC 1.) <br /> onBackand Z. 70 O0 .2.70 O0 <br /> ~n Campmgn Cash (CA) $ - Cash (CA) $ ° <br /> <br /> Finance Enter on Summary Statement, Column A, Line 1 <br /> <br /> Manual In-K~nd (IK) $ '"' 0 ~ In-Kind (IK) $ "- O -- <br /> Enter on Summary Statement. Column A. Lines 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ ~ 0 ~ Loans Received (LR) $ ~O ~ <br /> Enter on Summary Statement, Column A. Line 2 <br /> <br /> <br />