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In -Kind Contributions <br />Amendment <br />Pg. of ❑gyres ❑ No <br />Use this form to report non -monetary contributions, donations, goods or services provided to the conunittee or fund. <br />Use CRO-1215 if In -Kind Contributions were or will be refunded within 7 days. <br />1. Committee Full Name (and Fund if appHcable) <br />2. ID Number <br />Contributor Information Add Ll Remove <br />Full Name, Mailing Address & Phone <br />b. Type of Contributor <br />c. Comments <br />(include city, state, & zip) <br />EY Individual — <br />�n;L�❑Candidate <br />yL �/4 <br />�?� ] 3 4�]r. �C �p. n�E �jr. <br />�7 <br />J' C Z 7 <br />❑ Party <br />❑ PAC <br />❑ Referendum <br />❑ Other Receipt Source <br />d. Election Sum to Date <br />Description <br />f. Date (nunlddlyyyy) <br />g. Fair Market Amount <br />rY <br />4Cirews <br />S 139. Y11 <br />3. Contributor Information ❑ Add ❑ Remove <br />a. Full Name, Mailing Address & Phone <br />b. Type of Contributor <br />c. Comments <br />(include city, state, & zip) <br />Individual <br />❑ Candidate <br />❑ party <br />❑ PAC <br />❑ Referendum <br />d. Election Sum to Date <br />❑ Other Receipt Source <br />$ <br />e. Description <br />f. Date (nunlddlyyyy) <br />g. Fair Market Amount <br />Contributor Information ❑ Add ORemove <br />Full Name, Mailing Address & Phone <br />b. Type of Contributor <br />c. Comments <br />(include city, state, & Ap) <br />❑ Individual <br />- -- <br />❑ Candidate <br />❑ Party <br />❑ PAC <br />❑ Referendum <br />d Election Sum to Date <br />❑ Other Receipt Source <br />$ <br />. Description <br />f. Date (mmlddlyyyy) <br />g. Fair Market Amount <br />4. Total only this Page <br />5. Total of ALL CRO-1510 Pages <br />(This line must be online 17 of ❑etailed Summary Page CRO-1100) <br />CRO-151 D NC State Board of Elections December 2007 <br />