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PC 2 <br /> Cash Contributions, Loans Received and In-Kind Rev ,=o3 <br /> <br />Candidate or Political Comrmttee Name: Committee ID Number: <br />Write-In Jim Torrey None Page 1 of 1 <br /> <br />Election: [] Pr,mary 20__ [] General 2004 [] Other ~ <br />Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <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 Farmly 0ncludes 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-Ktnd Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor <br /> Date Received Contributtng Committee's ID# Aggregate Code 1 , Code 2 <br /> Solin & Associates <br /> 1. 1500 Valley River Drive, Suite 250 $ 250.00 <br /> Eugene, OR 97401 <br /> <br /> 11-17-04 $ 250.00 B CA <br /> <br /> Sterling Furniture <br /> 2. 3194 Gateway Loop $ 1,000.00 <br /> Spnngfield, OR 97477 <br /> <br /> 11-17-04 $ 1,000.00 B <br /> CA <br /> <br /> Charles Warren <br /> 3. PO Box 1818 $ 500.00 <br /> Eugene, OR 97440 <br /> <br /> 11-09-04 Retail - cutlery $ 600 00 I I CA <br /> I <br /> <br /> 4. $ <br /> , REC _IVbu <br /> D[C 0 2 2004 <br /> 5. $ <br /> $ CITY iilCORDER <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 Stmunary Statement, PC 1.) <br /> on Back and Cash (CA) $1,750.00 Cash (CA) $1,750.00 <br /> lB Campaign Enter on Summary Statement, Column A, Line 1 <br /> Finance <br /> Manual In-K~nd (IK) $ In-Kind (IK) $ __ <br /> Enter on Snmmary Statement, Cohmm A, Lines 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ ~ <br /> Enter on Summary Statement, Colunm A, Line 2 <br /> <br /> <br />