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PC 2 Cash Contributions, Loans Received and In-Kind Rev Candidate or Pohtlcal Committee Name: Committee ID Number: Write-In Jim Torrey None Page 6 of 7 Election: [] Primary 20__ [] General 2004 [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-elecUon [] Post-election [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (Includes candidate) IK In-Kind I Individual LR Loan Received L Labor Orgamzation O Other P Political Party Committee Line # Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information or Contributor Code 1 Code 2 Contributing Committee's ID# Aggregate Jane Moshofsky 1. 1240 E. 22nd Ave. $ 100.00 Eugene, OR 97403 09/02/2004 Homemaker $ 100.00 I CA Abris 2. 1117 West 3rd $ 500.00 website services Halsey, OR 97348 08-14-04 $ 500.00 B IK Philip Marvin 3. PO Box 2055 $ 100.00 Eugene, OR 97402 09/02/2004 Real estate sales $ 100.00 I CA Olsson Industrial Electric 4. PO Box 70413 $ 100.00 Eugene, OR 97401 09/07/2004 $ 100.00 B CA Wildish Sand & Gravel 5. PO Box 7428 $ 500.00 Eugene, OR 97401 09/07/2004 $ 500.00 B CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 800.00 Cash (CA) $ ~ m Campaign Enter on Summary Statement, Cohmm A, Line 1 Finance Manual In-Kind (IK) $ 500 00 In-Kind (IK) $ ~ Enter on Sunmmry Statement, Column A, Lines 4 and 9 PC 2 Loans Received (LR) $ 0.00 Loans Received (LR) $ ~ Enter on Sunmary Statement, Colunm A, Line 2