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<br />FROM .EUGENE CHAMBER <br /> <br /> ...... <br /> PC2 <br /> Cash Contributions. Loans Received and In-Kind Rev. 12/03 <br />Candidate or Political Committee Name: Committee 10 Number: <br />, ~ IA r.f ..J Ii {'JM M~ f.i.I2 PoL lD cA-(II-('1?,:);oJ Co hh 1m:: E -0- Page ~ of .2...... <br />Election: o Primary 20_ o Oeneral20_ o Other <br />Report: o 1st Pre-election o 2nd Pre~election o Post4clection ,f] 20Qt' September Supplemcntal <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFlNITIONS <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) 1K In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organi2a.tion <br /> 0 Other <br /> p Political Party Committee <br />Line # Nama and Address of Contributor Amount of In-KInd Purpose <br /> ContributIon (see manual for suggestad purpose code~ <br />Date Received Occupatlonsllnformetlon or Contributor Code 1 I Code 2 <br />ContrIbutIng Commfftee's 10#- Aggregate <br /> GIt\.f.ll<:>S. c/.h."tC.""SIUlz.. f g,qI...7lft2cP <br />1. 44-0 [ R::tc.l,4dt..J.4'1 $ <br /> If 14 c.n./lffi.. v~ -='74A.o 100.00 <br />~ -/g -o~ A-rro 12 /V fi-" Y ~ $ d. 0 0 . Qf!? f3, ell <br />2. $ <br /> $ I <br />3. $ <br /> $ I <br />4. $ <br /> $ I <br />5. $ <br /> $ I <br />Soe Page Totals (Add all amounts with the same Accounting Period Totals (Complote 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) $ /00. 00 Cash (CA) $ I, 35"0, 00 <br />in Campaign Enter on SliIMliry Slnlement, Coll1l'M A., Lllle I <br />Finance <br />Manual In-Kind (IK) $ In~Kind (lK) $ <br /> E.ater on !':lummary SlAtement, CQ1~rtu\ A, liDO' " o.cd ~ <br />PC2 Loana Received (LR) $ Loans Received (LR) $ . <br /> Enter on SlImI!l4I)I SralGmellt, Cclllmn A. Line 2 <br /> <br />FAX NO. :541 484 4942 <br /> <br />Sep. 12 2005 09:27AM P5 <br />