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<br /> PC2 <br /> Cash Contributions" Loans Received and In-Kind Rev. 12/03 <br />Candidate or Political Committee Name: Committee ID Number: <br />The )1;1/ Streef grjd~e C~(I'lfV) itfee Page ~ of -L <br />Election: D Primary 20_ D General 20_ D Other <br />Report: D 1 st Pre-election D 2nd Pre-election D Post-election ~ 20 OS 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 Address of Contributor 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 /> Cathel'ine Lar-sO(l <br />1. I g:t' LineDln ~tY'eet $ /2.0,00 <br /> er.tqene} Ore~o., 'f7401 <br />oajoLf/OS- write.- $ I 2. 0 .00 I I cA <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 (Complete 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) $ J 2. O. 00 Cash (CA) $ /20.00 <br />in Campaign <br />Finance Enter on Summary Statement. Column A, Line I <br />Manual In-Kind (IK) $ -0- In-Kind (IK) $ - 0- <br /> Enter on Summary Statement, Column A. Lines 4 and 9 <br />pe2 Loans Received (LR) $ -0- Loans Received (LR) $ - ~- <br /> Enter on Summary Statement, Column A, Line 2 <br />