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State of Oklahoma

LAST MINUTE CONTRIBUTIONS/RECEIPTS REPORT
[74 O.S.Supp.2004, Ch 62 App., § 10-1-15]    FAX (405) 521-4905
Please type or print clearly in black ink
FORM
C4-R
Rev.4/12
EC OFFICE USE ONLY
1. COMMITTEE NAME
Friends Of Greg Childers 2011
2. ADDRESS (number and street)
4721 Newport Drive
CITY, STATE, and ZIP CODE
Del City, OK 73115
Number assigned by Ethics Comm.
111004
3. CANDIDATE COMMITTEES ONLY. Full name of candidate
Greg C. Childers
  Type of Report      [] Amended
4. LAST MINUTE CONTRIBUTIONS OR LOAN PROCEEDS: Give the following information for contributions or loan proceeds of $500 or more in the aggregate accepted from one source after the last day of the reporting period for a pre-election report, but before the next election for which the pre-election report was due. Prior reported contributions or loan proceeds need not be included.
Name and address of contributor, lender or lending institution
Occupation and employer or principal interest or principal business activity [if no employer] Date contribution was accepted or date of loan Amount of contribution or loan
Chesapeake Oklahoma Pac
P.o. Box 18496
Oklahoma City, OK 73154
To Support Oklahoma State And Local Candidates   08/03/2011 $1,000.00
Total last minute contributions or loan proceeds reported: $1,000.00  
5. Certification: To the best of my best knowledge and belief, the above is a true and correct compilation.
Treasurer's or Deputy Treasurer's Signature
[or electronic signature in lieu thereof]
Date
    X Melanie Childers X Aug 03, 2011