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PC 2 <br /> Rev 12/03 <br /> Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br />~C071- M~'lSIo~'~ ~ol~. ~_IT~ COt4/~P_IL.- /3/~ Page I of <br /> <br />Election: [] Primary 20 0 ~ [] General 20 [] Other <br />Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20 , September 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 Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor <br /> Date Received Contributing Committee's IDI~ Aggregate Code I , Code 2 <br /> I~.:>bev+ co. <br /> <br /> s. "Po i~,~ Zt, Ix~', eug~,~.- ~ O~t~'~z. $ lO~. ~ <br /> <br /> ~-oo~ J. <br /> <br /> u[le]o3, q~ select I~ &-}~e~. $ ~ <br /> $ <br /> O ' <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 include aggregates.) transfer these amounts to the Summary Statement, PC 1 .) <br /> on Back and <br /> in C,ampmgn Cash (CA) $ LJ O0, ~ Cash (CA) $ <br /> Finance Enter on Summary Statement, Column A Line 1 <br /> <br /> Manual In-Kind (IK) $ ~ In-Kind (IK) $ <br /> Enter on Summary Statement, Column A Lines 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ <br /> Enter on Summar~ Statement, Column A Line 2 <br /> <br /> <br />