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kk <br />In -Kind Contributionpg L of Amendment <br />L ❑ Yes No <br />Use this form to report non -monetary contributions, donations, goods or services provided to the committee or fund. <br />Use CRD-1215 if in -Kind Contributions were or will be refunded within 7 days. <br />1. Committee Full Name (and Fund if applicable) 2. ID Number <br />Comer, Ll' ee - 6 GC•14wJ <br />3. Contributor Information El Add ❑ iternove <br />a. Fall Name, Mailing Address & Phone b. Type of Contributor c. Comments <br />(include city. state, & tip) Individual <br />I ,Y.0L�A%-)e_ � ❑ Candidate <br />8030 Ra&A PEl PAC <br />concov-A7 i u [' 01 ❑ Referendum d. Eketion Sum to Date <br />I 0 + - + { ! - ca31 ❑ other Receipt source $ 6m 00 <br />e_ Description E Datt mmld [ diyyyy) g. Fair Market Amount <br />3. Contributor Information Add <br />LiRemove <br />a. Fail Name, Mailing Address & Phone <br />b. Type of Contributor <br />(include city, state, & zip) <br />individual <br />'Pf- re. j� <br />�e <br />❑ <br />Candidate <br />� �$S�Y <br />pp� <br />[ f � - <br />❑ <br />� <br />7 [ o $ ) e. I"i'D v <br />❑ <br />PAC <br />CV1 a C. ag 1 0 <br />l 1 <br />❑ <br />Referendum <br />� � 4 , 0 - S 4 1 ! <br />❑ <br />Other Receipt Bootee <br />e. Description <br />l Date [mmlda <br />d c �.5 Go L1�1e+e�'I �r <br />Yew w <br />►>a �s <br />is o� <br />3. Contributor Information LJ Add <br />El Remove <br />a.. Full Name, lNbRing Address & Phone <br />b. Type of Contributor <br />(include city, state, & tip) <br />Individual <br />Stiftw3*0 <br />❑ <br />Candidate <br />i <br />2aA Cw s At w <br />❑ <br />Party <br />Con d 4r4L, % C. ASOZ5, <br />PAC <br />Referendum <br />ctgo -sal 1 {0 <br />❑ <br />Other Receipt Saarcc <br />t. Description <br />Caoor aecaA5 <br />4. Total only this Pate <br />S. Total of ALL CRQ-1510 Pages <br />(This line —sl be an line 17of Aerealed <br />CRO-1510 <br />Is <br />e. Comments <br />d. Election Sam to hate <br />$ 1000D <br />ry) g. Fair Market Amount <br />C. Comments <br />d. Election Sum to Date <br />L Date (mmlddlyyyy) <br />$ �50 <br />g. Fair Market Amount <br />1°[4ljao2r <br />S <br />CRa-1 Nlnj <br />NC State Board of Elections <br />$ 35b�° <br />$ <br />rf 05t) as <br />December 2007 <br />