Laserfiche WebLink
Supplement to Second Pre/Post-Election - Contributions <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br /> <br /> gC0TI' ME'IStoE'c~. ~o~ O.,ITx( ~OU. tO6tL.. ~dt} Page J of <br /> <br />Election: [] Primary 200~' [] General 20 [] Other <br />Report: [] 1st Suppl. to the 2nd Pre-election [] 2nd Suppl. to the 2nd Pre-election [] Suppl. to Post-election <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 lu-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization PC Pledge of Cash <br /> O Other PI Pledge of In-Kind <br /> P Politmal Party Committee PL Pledge of Loan <br /> <br /> Ltne ii Name and Address of Contributor Amount of <br /> Contribution In-Ktnd Purpose <br /> Date Received Occupational Information or Code I Code 2 (see manual for suggested purpose codes) <br /> Contnbuting Committee's IDii <br /> <br /> 5. ~o ~og 3~t $ 300.00 <br /> <br /> See FOR OFFICE USE ONLY <br /> Inst~ctions 1, g o~ ~a~ , (name of~or <br /> on Back and ~easurcr)hereby ceni~ that the above statement is tme and co~ect, e e C ElY E D <br /> in Campaign <br /> Finance <br /> Manual 1 0 2004 <br /> <br /> <br />