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<br />Supplement to Second Pre/Post-Election - Contributions <br /> <br />PC8A <br />Rev. D/03 <br /> <br />Candidate or Political Committee Name: <br /> <br />LI rl C!.A L Committee ID Number: <br />CeJM M 1/7t:-7:- <br /> <br />Page of I <br /> <br /> <br />Election: <br />Report: <br /> <br />&<5/ Q'SO <br />o Primary 20_ 0 General 20_ 0 Other <br />1st Supp!. to the 2nd Pre-election 0 2nd Supp!. to the 2nd Pre-election <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />CODE 1: Contributor Type <br />B Business Entity <br />C Political Committee (includes business and union PACs) <br />F Candidate's Immediate Family (includes candidate) <br />I Individual <br />L Labor Organization <br />o Other <br />P Political Party Committee <br /> <br />Line # <br /> <br />Name and Address of Contributor <br /> <br />Date Received <br /> <br />Occupational Information or <br />Contributing Committee's ID# <br /> <br />Code 1 <br /> <br />1. <br /> <br />o Supp!. to Post-election <br /> <br />CODE 2: Contribution Type <br />CA Cash <br />CO Cosigner Obligation <br />IK In-Kind <br />LR Loan Received <br />PC Pledge of Cash <br />PI Pledge ofIn-Kind <br />PL Pledge of Loan <br /> <br />Amount of <br />Contribution <br /> <br />In-Kind Purpose <br />(see manual for suggested purpose codes) <br /> <br />Code 2 <br /> <br /> <br />eVlYell/e pouce"ll"mft..oy'Gi?s/ A-SSOc., <br />/0-2{;, -05 771 tf7~rI'Sl #/zo etl~ 171< 971/tN CA <br /> <br />2. $ <br /> <br />3. $ <br /> <br />4. $ <br /> <br />5. $ <br /> <br />See <br />Instructions <br />on Back and <br />in Campaign <br />Finance <br />Manual <br /> <br />I, E/2./ It::: C, U , (name of candidate or <br />treasurer) hereby certify that the above sta ment is true and correct. <br /> <br />ROt ~tlVtijNL y <br /> <br /> <br />/tJ-3/-os <br />Date signed <br /> <br />CITY RECORDER <br /> <br />PC8A <br /> <br />OCT 3 1 2005 <br />