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<br />FROM :EUGENE CHAMBER <br /> <br />FAX NO. :541 484 4942 <br /> <br />.......?e.p. 12_~_005 09: 27AM P4 <br /> <br />Cash Contributions, Loans Received and In-Kind <br /> <br />PC2 <br />Rev. 12103 <br /> <br />Condidate or Political Committee Name: <br /> <br /> <br />Line # <br /> <br />Date ReceIved <br /> <br />1. <br /> <br />1- O~.DS; <br /> <br />2. <br /> <br />Nama and Address of Contributor <br /> <br />Occupatlonsllnformatlon or <br />Contrlbutln Commitlos's 10# <br />C/lf1,...,alil?$ COr/S/r;!IA.. (;/ ff7/V <br />1 ~ '1 ~ CO ~l.t~ r;,. l2o.4d <br />J;/A &;[,-li, oR qr'j 'k;> <br /> <br />GI..::' ;t:tZ4 ( COlli . t'7?Jr< <br /> <br />~t17"L1RtE &. /Io!\c. S <br />r. 19' &0 Y -7 4-:1 S- <br />..t -:-;.. . '04-01 <br /> <br />Committee lD Number: <br /> <br /> <br />o Other <br />o Post-election <br /> <br /> Amo/Jnt of <br /> ContributIon <br /> Contributor <br /> A gregats <br />$ <br /> 00.00 <br />$ /01) JO <br />$ <br /> 00 <br />$ <br />$ <br /> - 0.00 <br /> 00 <br /> <br /> <br />(l ,. (., <br />Eloction: 0 Primary 20_ 0 General 20_ <br />Report: 0 1st Pre-election 0 2nd Pre-election <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />CODe 1: Contributor Type <br />B Business Entity <br />C Political Committee (includes business and union P ACs) <br />F Candidate's Immediate Family (includes candidate) <br />I Individual <br />L Labor Organization <br />o Other <br />P Political Party Committee <br /> <br />3. <br /> <br />4. <br /> <br />3"liRR. 'I' ~ lIoht:-.In (-"aD' 1/ ~""-M T <br />('~,....rr:"'<:' $ <br />;2 6 0 0 1141 ~ Cj'i ,It v 12 nI <br />1["11 r.? . (/ ~ <br /> <br />-j'3-0,-<; I <br /> <br />c.bC. MArl AC};'hl'irT CoV: ~ <br />5. ~:k)o UJLLA"" I$.,n;:: S r: <br />e f/J&/c,'V (. .;>{2. q') 4-0 I <br /> <br /> <br />See <br />Instructions <br />on Back and <br />in Campaign <br />Finance <br />ManuI11 <br /> <br />PC2 <br /> <br />-e- <br /> <br />PageLof~ <br /> <br />20~September Supplemental <br /> <br />CODe 2: Contribution Type <br />CA Cash <br />CO Cosigner Obligation <br />IK In-Kind <br />LIt Loan Received <br /> <br /> <br />Code 1 <br /> <br />Code 2 <br /> <br /> <br /> <br />Ov.oo <br /> <br /> <br />~O' )~~ flT'- - c.J[. n." T <br /> <br />Page TC)tals (Add aU amounts with the same <br />contribution type. Do not include aggregates.) <br /> <br />Cash (CA) <br /> <br />$ ',:J. <;;'O.Dt/ <br /> <br />In-Kind (IK) <br /> <br />$ <br /> <br />Loans Received (LR.) $ <br /> <br />''-00,00 <br /> <br />$ <br /> <br />OU. {.?{.? <br /> <br />$ <br /> <br />~ <br /> <br />C fJ' <br /> <br /> <br />CA <br /> <br /> <br />t'7 v. uV <br /> <br />Accounting Period Totals (Complete only for last page and <br />transfer these amounts to the Summl1I'Y Statement, PC I.) <br /> <br />Cash (CA) <br /> <br />In-Kind (IK) <br /> <br />$ <br />Enter OIl SlUlllll.ry Statement, Column A, Line 1 <br /> <br />$ <br /> <br />Iillter on Sqrnmary S1I1temcm. Column A, Llnaa 4 llnd 9 <br /> <br />LolUlB Roceived (LR) $ <br />Enkr on SltTllllllU)' S~tc=t, Col\llllll A, I.inc J <br />