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<br /> PC 2 <br /> Cash Contributions, Loans Received and In-Kind Rev. 12/03 <br />Candidate or Political Committee Name: Committee ID Number: <br />Vote Yes For External Police Review Page 1 of~ <br />Election: o Primary 20 [g] General 2005 o Other <br />Report: o 1 st Pre-election "'0 2nd Pre-election o Post-election o 20_ September Supplemental <br /> - <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 /> Constance P. Brown <br />1. 35401 Row River Rd. #3 $ 50.00 <br /> Cottage Grove, OR 97424 <br />9/29/2005 Retired $ 50.00 I I CA <br /> Donald Brodsky <br />2. 3085 Whitbeck Blvd $ 50.00 <br /> Eugene, OR 97405 <br />9/29/2005 Musical Instrument Builder $ 50.00 I I CA <br /> Deborah Telew <br />3. 30065 LeBleu Rd $ 50.00 <br /> Eugene, OR 97405 <br />9/29/2005 Retired $ 50.00 I I CA <br /> Rob Handy <br />4. 455 1/2 River Rd $ 165.00 <br /> Eugene, OR 97403 <br />9/29/2005 Landscaper $ 165.00 I I CA <br /> Carolyn Partridge <br />5. 3575 Knob Hill Ln $ 50.00 <br /> Eugene, OR 97405 <br />9/29/2005 Teacher $ 50.00 I I CA <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 I.) <br />on Back and Cash (CA) $ 365.00 Cash (CA) $ <br />in Campaign Enter on Summary Statement. Column A, Line I <br />Finance <br />Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ <br /> Enter on Summary Statement, Column A. Lines 4 and 9 <br />PC 2 Loans Received (LR) $ 0.00 Loans Received (LR) $ <br /> Enter on Summary Statement, Column A. Line 2 <br />