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<br />Sep 26 05 08:45a <br /> <br />JenniFer Solomon <br /> <br />541-461-4600 <br /> <br />p.5 <br /> <br /> I'C~A <br /> Other Recei pts Re,., I:!/OJ <br />Candidate or Political Committee Name: Committee ID Number: <br /> ~0L-01'-1 0 i\J ~ CiT'-/ GO vtJel L--- Page 2- of 2- <br />Election: o Primary 20_ ~GeneraI200~ o Other <br />Report: o 1st Pre-election D 2nd Pre-election D Post-election I2t] 20 05September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br />Other Receipt Transaction Type Codes <br /> EL Exempt Loan Proceeds <br /> F'M Items Sold at Fair Market Value <br /> IN Interest/Investment Income <br /> OM Miscellaneous (provide a description) <br /> RF Refunds, Rebates and Returns <br /> Date Name Other Receipt <br />Line # Received (required for codes fL, OM and RF; Transaction Type Other Receipt Amount <br /> optional for codes FM and IN) Code <br />1. ( /1I/0S 'V)+V~ IN $ .1/ <br />2. g/or;jos l( $ ft . (2- <br />3. $ <br />4. $ <br />5. $ <br />6. $ <br />7. $ <br />8. $ <br />9. $ <br />10. $ <br /> See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only for last page and <br />Instructions Type Codes specified.) .ifJ- .23 transfer these amounts to the Summary Statement, PC I.) <br />on Back and t. ~3 <br />in Campaign Codes FM, IN, OM, RF $ Codes FM, IN, OM, RF $ <br /> Finance Enter 011 Summar)' Sta1emcnt, Column A. Line 13 <br /> Manual Code EL $ Code EL $ <br /> Enter on Summary StDt~nt, Column A. Line 14 <br /> PC4A <br />