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PC 2 <br /> Cash Contributions, Loans Received and In-Kind Rev ,2,03 <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br />Write-In Jim Torrey None Page_7 of Z <br /> <br />Election: [] Primary 20__ [] General 2004 [] Other ~ <br />Report: [] 1 st Pre-elect~on [] 2nd Pre-election [] Post-electron [] 20m September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution lype <br /> B Business Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obhgation <br /> F Candidate's Immediate Family (includes candidate) IK In-K~nd <br /> I Individual LR Loan Recmved <br /> L Labor Orgamzation <br /> O Other <br /> P Political Party Comnuttee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Contnbutor [ <br /> Date Received Contributing Committee's ID# Aggregate Code 1 ~ Code 2 <br /> <br /> Miscellaneous cash contributions $50 and <br /> 1. under. From 08-16-04 through 9-16-04 $ 1,315.00 <br /> <br /> various $ 1,315.00 I CA <br /> <br /> Miscellaneous cash contributions $50 and <br /> 2. under. From 8-16-04 through 9-16-04 $ 50.00 <br /> <br /> various $ 50.00 B CA <br /> <br /> Jeff Miller <br /> 3. 450 Country Club Road $ 500.00 <br /> Eugene, OR 97401 <br /> <br /> 09-10-04 Insurance agent_ $ 500.00 I CA <br /> <br /> Jeff Miller <br /> 4. 450 Country Club Road $ 200.00 <br /> Eugene, OR 97401 <br /> <br /> 09-16-04 Insurance agent $ 200.00 I I <br /> LR <br /> I <br /> <br /> 5. $ <br /> <br /> $ <br /> <br /> See Page Totals (Add all amounts wuth the same Accounting Period Totals (Complete only for last page and <br /> Instmctuons contribution type. Do not include aggregates.) transfer these mounts to the Summary Statement, PC 1.) <br /> on Back and Cash (CA) $1,865 00 Cash (CA) $11,085.00 <br /> in Campaign Enter on Stmmmry Statement, Column A, Line 1 <br /> Finance <br /> Manual In-Kind (IK) $ __ In-Kind (IK) $ 500.00 <br /> Enter on Sunanary Slatement, Column A, Lines 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ 200.00 Loans Recmved (LR) $ 200.00 <br /> Enter on Sunanary Statement, Column A, Line 2 <br /> <br /> <br />