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<br /> PC 2 <br /> Cash Contributions, Loans Received and In-Kind Rev. 12/03 <br />Candidate or Political Committee Name: Committee ID Number: <br /> c:J..e/5 Pt R.o/l. b eJ. t,().),()~1 Page -1- of L <br />Election: D Primary 20_ ( o General 20_ o Other <br />Report: o ] st Pre-election D 2nd Pre-election D Post-election ~ 20~ 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 />Line # Name and Addmss ofConmbuwr 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 /> C t/ JYI c'*'" n tJ ".,CII1-/ ;J f f7tlt!/J ~ <br />1. $ ,5jCX) <br /> .- <br />f7--(~() for Ctnv,.mu.uJ~~ 500 - E I <br /> $ <br />2. $ <br /> $ I <br />3. $ <br /> $ I <br />4. $ <br /> $ I <br />5. $ <br /> $ I <br />See Page Totals (Add all amounts with the same Accounting Period Totals (Comp]ete only for last page and <br />Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC ].) <br />on Back and Cash (CA) $ Sea Cash (CA) $ .set' - <br />in Campaign <br />Finance Enter on Summary Statement, Column A, Line I <br />Manual In-Kind (IK) $ ~ In-Kind (IK) $ --- <br /> Enter on Summary Statement, Column A. Lines 4 and 9 <br />PC2 Loans Received (LR) $ ~ Loans Received (LR) $ ---- <br /> Enter on Summary Statement, Column A. Line 2 <br />