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<br />FROM :EUGENE CH8MBER <br /> <br />F8X NO. :541 484 4942 <br /> <br />Oct. 10 2005 02:07PM P2 <br /> <br />Summary Statement of Contributions and Expenditures <br /> <br />Please ty e or tint legibly in black ink. <br />Candidate or Political Committee Name (use full name); <br /> <br />PC I <br />RlIV, 12fOJ <br /> <br />Pa e 1 of2 <br /> <br /> <br />~ a..'"1 b~,t <br />Committee ID Number: <br />-e- <br /> <br />Telephone Number (day): <br />34-~- 8DlPO <br /> <br />o Original <br />Amendment <br /> <br />1'"\ <br />o Primary 20_ <br />o 1 st Prc-election <br /> <br />Cormnittce Type, Measure Number at Office: <br />S S <br />o General 20_ 0 Other <br />o 2nd Pre-election 0 Post-election <br /> <br />A-TOTALS FOR THIS <br />ACCOUNTING PERIOD ' <br /> <br />20Q,s: September Supplemental <br />B-CUMULATIVE TOTALS <br />FOR THIS ELECflON <br /> <br />CONTRIBUTIONS <br />1. Cash Contributions <br />(Accounting Period Total from PC 2) <br />2. Loans Received (Non-Exempt) <br />(Accounting Period Total from PC 2) <br />3. Total Cash Contributions <br />(lines 1+ 2) <br />4. In-Kind <br />(Accounting Period Total from PC 2) <br />5. TOTAL CONTRIBUTIONS <br />(lines 3 + 4) <br />EXPENDITURES <br />6. Cash Expenditures <br />(Accounting period Toeal from PC 3) <br />7. Loan Payments (Non-Exempt) <br />(Accounting Period Total from PC 3) <br />8. Total Cash Expenditures <br />(linea 6 + 7 <br />9. In-Kind <br />(Accounting Period Total from PC 2) <br />10. TOTAL EXPENDITURES <br />(linea g + 9) <br />CASH BALANCE <br />11. Beginning Cash Balance <br />(lino 20 of revious 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 of- 14) <br />16. Total Expenditures <br />(line 10) <br />17. Othor Disbursements <br />Accouotin Period Total frOm PC 4B) <br />18. Loan Payments (Exempt) <br />(Accounting period Total from PC 4B) <br />19. EXPENDITURE SUBTOTAL <br />(lines 16 + 17 + 18) <br />20. ENDING CASH BALANCE <br />(line 15 minus line 19) <br /> <br />Jl <br /> <br /> <br />+ <br /> <br /> <br />+ <br /> <br />.. <br /> <br />.. <br /> <br />+ <br /> <br />-e- <br /> <br />+ <br /> <br />..if <br /> <br />= <br /> <br /> <br />.. <br /> <br /> <br />D. DO <br /> <br /> <br /> <br />"" <br /> <br />..a- <br /> <br />+ <br /> <br />+ <br /> <br />+ <br /> <br /> <br />.. A <br /> <br />= <br /> <br /> <br />~;l. <br /> <br />= <br /> <br />= <br /> <br />+ <br /> <br /> <br />glj <br /> <br />FO,R OFFICE USE ONLY,: ' , <br /> <br />+ <br /> <br />o. <br />-er <br />-4}- <br />"" !J ~ ~;).j. <br /> <br />o <br /> <br />+ <br /> <br />. ,': <br /> <br />" ...... . <br /> <br /> <br />~ <br /> <br />. .. .... <br />, ' <br /> <br />2. <br /> <br />+ <br /> <br />+ <br /> <br />~. ~. .:, <br /> <br />'. , <br /> <br />.. <br /> <br /> <br />.,' ',. <br /> <br />'" <br />