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PC 2 <br /> Cash Contributions, Loans Received and In-Kind .er 12/03 <br /> <br />Candidate or Pohtical Comnuttee Name: Committee ID Number: <br />Write-In Jim Torrey None Page 4 of 7 <br /> <br />Election: [] Primary 20__ [] General 2004 [] Other ~ <br />Report: [] 1 st Pre-elecUon [] 2nd Pre-elect~on [] Post-election [] 20__ September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Bus~ness Entity CA Cash <br /> C Pohtical Committee (includes business and umon PACs) CO Cosigner Obhgat~on <br /> F Candidate's Immediate Farmly (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Orgamzation <br /> O Other <br /> P Pohtlcal Party Committee <br /> <br /> Line # Name and Address of Contributor Amount of In-Kind Purpose <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Informatton or Contributor <br /> Code 1 Code 2 <br /> Contributing Committee's ID# Aggregate <br /> Norman N. McDougal <br /> 1. PO Box 518 $ 1,000.00 <br /> Creswell, OR 97426-0518 <br /> <br /> 08/18/2004 Rent estate developer $ 1,000.00 I CA <br /> <br /> Cochran Investment Company <br /> 2. 3298 Lakemont Drive $ 100.00 <br /> Eugene, OR 97408 <br /> <br /> 08/27/2004 $ 100.00 B CA <br /> <br /> Dawd E. Carmichael Attorney at Law <br /> 3. 777 High Street $ 100.00 <br /> Eugene, OR 97401 <br /> <br /> 08/27/2004 $ 100.00 B CA <br /> <br /> Imperial Floors <br /> 4. 355 Lincoln Steet $ 100.00 <br /> Eugene, OR 97401 <br /> <br /> 08/27/2004 $ 100.00 B CA <br /> <br /> Joan Obie <br /> 5. 3694 Plumtree $ 500.00 <br /> Eugene, OR 97402 <br /> <br /> 08/27/2004 Bookkeeper $ 600.00 I CA <br /> <br /> See Page Totals (Add all amounts w~th 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 Cash (CA) $1,800.00 Cash (CA) $ ~ <br /> m Campaign Enter on Summary Statement, Colunm A, Line 1 <br /> Finance <br /> Manual In-Kind (IK) $ __ In-Kind (IK) $ ~ <br /> Enter on Summary Statement, Column A, Lmes 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ ~ <br /> Enter on Sunm~ry Statement, Column A, L~ne 2 <br /> <br /> <br />