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<br />FROM :EUGENE CHAMBER <br /> <br />FAX NO. :541 484 4942 <br /> <br />Sep. 12 2005 09:26AM P2 <br /> <br />Summary Statement of Contributions and Expenditures <br /> <br />reI <br />R~v. l2/03 <br /> <br />PIMSl'J type or print legibly in black ink. <br />Candidate or Political Committee Name (use full name): <br />~ ' {j , < POL I 4 t\ rTlC - <br />Mailing Address as it Appears on Statement of Organization (street, route or box number. city, state, zip code): <br />14- () , W b~ 9 ') 4-- D I <br />Treasurer's Name: Telephone Number (day): <br />&$-RIC--'1 G "3 4-~ - 80CoO <br />Committee 1D Number: Committee Type, Measure Number or Office: <br />e {\I C !Z L lA. .s <br />o Original 0 Primary 20_ 0 General 20_ 0 Other <br />o Amendment D I at Pre~election 0 2nd Pre.election 0 Post-election <br />A-TOTALS FOR THIS <br />ACCOUNTING PERIOD <br /> <br />Page I of2 <br /> <br /> CONTRIBUTIONS <br />1, Cash Contributions <br /> (Accounting Period Total from PC 2) 00 <br />2. Loans Received (Non-Exempt) + + <br /> (Aocounting Period Total from PC 2) <br />3. Total Cash Contributions <br /> = = <br /> (lines 1 + 2) 0 <br />4. In-Kind -e- <br /> (Accounting Period Total from PC 2) + + -e- <br />5. TOTAL CONTRIBUTIONS <br /> (liucs 3 + 4) :: .. 100 <br /> 0 (!'.? <br /> <br />20~September Supplemental <br /> <br />B-CUMULA TIVE TOTALS <br />FOR THIS ELECTION <br /> <br /> <br /> <br />EXPENDITURES <br />6. Cash Expenditures <br />(Accounting Period Total from PC 3) <br />7. LoaD Payments (Non-Exempt) <br />(Accounting Period Total from PC 3) <br />8. Total. Cash Expenditures <br />(lines 6 + 7) <br />9. In~Kind <br />(Accollnting Period Total from PC 2) <br />10. TOTAL EXPENDITURES <br />(linea 8 + 9) <br />CASH BALANCE <br />11. Beginning Cash Balanco <br />(line 20 ofprevioUB report) <br />12. Total Contributions <br />(line 5) <br />13. Other Receipts <br />(Accounting Period Total from PC 4A) <br />14. Loans Received (Exempt) <br />(Accounting Period Total from,PC 4A) <br />15. CONTRIBUTION SUBTOTAL <br />(lines 11 + 12 + 13 + 14) <br />16. Total Expenditures <br />(line 10) <br />17. Other Disbursoment~ <br />Accountin Period Total from PC 4B <br />18. Loan Payments (Exempt) <br />(Accounting Period Total from PC 4B) <br />19. EXPENDITURE SUBTOTAL <br />(linea 16 + 17 + 18) <br />20. ENDING CASH BALANCE <br />line 15 mInus line 19) <br /> <br /> <br />+ <br /> <br />-e-- <br /> <br />"" <br /> <br /> <br />c <br /> <br /> <br />:2. <br /> <br />= <br /> <br />-+- <br /> <br /> <br />+ <br /> <br />"= <br /> <br />~8.;t <br /> <br />.. <br /> <br />. .. . . <br />FOR OFFICE USE bNL y' . . . <br /> <br />+ <br /> <br />+ <br /> <br />", :. <br />'. . . . <br /> <br />+ <br /> <br />. '. . <br /> <br />. R"E"C" EI"V . :-. :.' <,.".~.., <br />.:....; '.' c.. ..EO'<.,':: <br />.. .' '.' j' "," ',' . <br /> <br />.,: s"E:f.> .12:l~b~".": \,' :,'::, <br /> <br />= <br /> <br />. ' ,",. <br /> <br />+ -if <br />+ -f?-: <br />~ II, 8~ <br />=: <br /> <br />" <br /> <br />:',. 'GI.rY"AE,'C o"FfnEij. . ,. <br /> <br />.d', ,,: <br /> <br />,'~. .' <br /> <br />'! ..... <br />. .' . <br /> <br />. .'.' '. ., <br /> <br />. ','"" '.,. . <br /> <br />.' <br />... ....... <br /> <br />. .', :/': <br /> <br />" .~. >. <br /> <br /> <br />'. >....., <br /> <br />. I.' <br /> <br />. . <br />..,"' . <br /> <br />.., ".' <br /> <br />. .',' <br /> <br />. .". <br />, ...... <br /> <br />. '.:" <br />