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PC 2 Amendmeat <br /> Amendments-Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br /> ~ toT/ t~'l~ F'o~ e~rry ¢~cc~e.t/.~ ~ or Page ! of <br /> <br />Elect]on: [] Primary 20 0 t/ [] 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 /> 0 Other <br /> P Political Party Committee <br /> <br /> Amending Page # Name and Address of Contributor Amount of la-Kind Purpose <br /> and Line # Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor Code 1 Code 2 <br /> Contributing Committee's ID# Aggregate <br /> <br /> Page L,ne '~ ~.~e14,*.~ C ~'~ ~' (~1,*-~,,~,~.~ <br /> <br />[] Correcting <br /> <br /> Page L,ne 1~ ~.~ {? I~ ~ ~,~.e.~ '~/q' C <br /> <br /> ~ Corre~mg <br /> ~ 9elettng ~""- <br /> O~ <br /> <br /> ~ NewEnt~ ~.O,~ ~0~ $ ~.~ <br /> D Correcting ~ ~ ~ <br /> D Deleting <br /> <br /> ~ Correcting <br /> D Oelet, ng [~ 0 ~ <br /> <br /> Pago.~ Lme~ <br /> ~ New Ent~ $ <br /> ~ Correcting <br /> ~ Delet,ng <br /> <br /> $ <br /> <br /> Instructions " /": ~", ' <br /> on Back and , .;, ,. ,, ~. ~.:.,~ <br /> in Campmgn ~ - ~ " <br /> Finance Signature of candidate or treasurer ~ ~ : <br /> Manual "' ., ', , ,, <br /> <br /> Amendment Date signe~ , , , ~' ~,', <br /> <br /> <br />