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Cash Contributions, Loans Received and <br />Candidate or Political Committee Name. Committee ID Number: <br />Kitty P~ercy for Mayor n/a Page_8 of~ <br /> <br />Election, [~ Primary 200_4_4 [-1 General 20__ ~ Other__ <br />Report [~ 1 st Pre-election [] 2nd Pre-election [] Post-election [~ 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 umon PACs) CO Cosigner ObligatIon <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> 1 Individual LR Loan Received <br /> L Labor Organization <br /> 0 Other <br /> P Pohncal Party Committee <br /> <br /> Amount of' ln-K¢nd Purpose <br /> Dne # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor Code ? Code 2 <br /> Contributing Committee's ILY¢¢ Aggregate <br /> <br /> ,Jerome D~ethelm <br /> <br /> 1 2652 Agate St $ 100 00 <br /> Eugene OR 97403 <br /> <br /> 1/28/2004 Architect/Landscape Arch~tec~ $ 100.00 I CA <br /> <br /> Diane Duke <br /> 2 1737 Walnut Dr $ 100 00 <br /> Eugene OR 97403 <br /> <br /> 3~7~2004 Associate Executive D~rector of Nonprofit $ 100 00 t CA <br /> <br /> Vick~e Elmer <br /> 3 2852 Willamette St $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 3/1/2004 Professor $ 100 00 I CA <br /> <br /> Alison Erde <br /> 4 870 West 36th Avenue $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 3~7~2004 Phystctan $ 100 00 I CA <br /> <br /> Audrey Enckson <br /> 5 2555 Agate St $ 100 00 <br /> Eugene OR 97403 <br /> <br /> 31412004 Rettred $ 100 00 I CA <br /> <br /> See Page Totals {Add alt amounts with the same Accounting Period Totals t Complete only tor ~ast page and <br /> Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC <br /> <br /> on Back and Cash (CA) $ 500 00 Cash (CA) $ ~ <br /> in Campaign En~cr on Summars. St,~t~:ment <br /> Finance <br /> Manual In-Kind (IK) $ ~_ In-Kind (IK) $ - <br /> EDIei O1l Stlll/lllaP:' Stat¢lrlCllf ( t)]tltltll <br /> <br /> PC 2 Loans Received tLR) $ _ Loans Received (LR) $ _ <br /> F~F!tUI <br /> <br /> <br />