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<br />PC 4A Other Receipts <br />please type or print legibly in black ink; list only one entry per line <br />J, name of committee use full name committee 10 number <br /> <br />rev 1/06 <br /> <br />RENEW LIBRARY LEVY NOW <br /> <br />page~of~ <br /> <br />OPrimary20_ <br /> <br />o General 20~ <br /> <br />o other: <br /> <br />o 1st pre-election <br /> <br />o 2nd pre-election <br /> <br />o Post-election <br /> <br />o 20_Sept. Suppl. <br /> <br />o Report of Initial Assets <br /> <br />9*lj~t.'EJAAiP!......i1'l~~~~j"..~..(:ij~~~ <br />EL Exempt Loan Proceeds <br />FM Items Sold at Fair Market Value <br />IN Interest/Investment Income <br />OM Miscellaneous provide a description <br />RF Refunds and Rebates <br /> <br /> <br /> <br />. 11/3/06 <br /> <br />CITY OF EUGENE <br />EUGENE, OREGON <br /> <br />OM <br />DESTROYED CHECK <br /> <br />$ <br /> <br />1,200.00 <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />$ <br /> <br />. <br /> <br />$ <br /> <br /> <br /> <br />. <br /> <br />. <br /> <br />add all Other Receipt Transaction Type Codes specified <br /> <br />codes FM, IN, OM, RF <br />$ 1,200.00 <br /> <br />code EL <br /> <br />complete only for last page and transfer these amounts to the Summary Statement, PC 1 <br />codes FM, IN, OM, RF code EL <br /> <br />$ <br /> <br />$ 1,200.00 <br /> <br />$ <br /> <br />enter on PC " Column A, Line 13 <br /> <br />enter on PC " Column A, Line 14 <br /> <br />PC4A <br /> <br />see instructions on back and in Campaign Finance Manual <br />