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<br /> PC2 <br /> Cash Contributions, Loans Received and In-Kind Rev. 12103 <br />Candidate or Political Committee Name: Committee ill Number: <br />Elect Maurie Denner Page 1 of 1 <br />Election: IZI Primary 2005 o General 20 o Other <br />Report: o 1 st Pre-election o 2nd Pre-election o Post-election IZI 2005 September Supplemental <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 Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> 0 Other <br /> P Political Party Committee <br />Une# Name and Address of Contributor Amount of In-Kind Purpose <br /> Contribution (see manual for suggested purpose codes) <br />Date Received Occupational Information or Contributor Code 1 I Code 2 <br />Contributing Committee's 10# Aggregate <br /> Maurie Denner <br />1. 3853 Blanton Rd., Eugene, OR 97405 $ 1 00.48 IK <br /> Forgiven personal expenditures <br />09-01-2005 Candidate $ 2,450.48 F I IK <br />2. $ <br /> $ I <br />3. $ <br /> $ T <br />4. $ <br /> $ I <br />5. $ <br /> $ I <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 Summary Statement, PC 1.) <br />on Back and Cash (CA) $ 0.00 Cash (CA) $ 0.00 <br />in Campaign Enter on Summary Statement, Column A Line I <br />Finance <br />Manual In-Kind (IK) $ 100.48 In-Kind (IK) $ 100.48 <br /> Enter on Summary Statement, Column A Lines 4 and 9 <br />PC 2 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 <br />Enter on Summarv Statement Column A Line 2 <br />