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PC 2 <br /> Cash Contributions, Loans Received and in-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page 7 of ~ <br /> <br />Election: ~ Primary 200_&4 El General 20__ [] Other ~ <br />Report: [] I st Pre-election [] 2nd Pre-election [] Post-election E~ 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> g Business Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> L;ne # Name and Address of Contributor Contnbution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor Code 1 I Code 2 <br /> Date Recewed Contributing Committee's/D¢¢ Aggregate <br /> <br /> Andrea Ortlz 189 Foch St. <br /> I Eugene OR 97402 $ 100 00 <br /> <br /> 5/4/2004 Patient Access Specialist $ 100 00 I CA <br /> <br /> Suz~ Prozanski P O. Box <br /> 2 11511 Eugene OR 97440 $ 100.00 <br /> <br /> 5/4/2004 Adjunct Instructor/Writer/Editor $ 100 00 <br /> CA <br /> <br /> Stephen Ramey P O. Box <br /> 3 3153 Eugene OR 97403 $ 50 00 <br /> <br /> 5/6/2004 property investor $ 100,00 I CA <br /> <br /> Cynthia Smtth P.O.Box 190 <br /> 4 Walterv~lle OR 97489 $ 100.00 <br /> <br /> 5/4/2004 Medical Prat~tioner $ 100 00 <br /> CA <br /> <br /> Josephine von Hippel <br /> 5 1900 Crest Dr EugeneOR $ 100 00 <br /> 97405 <br /> <br /> 5/4/2004 Professor $ 100 00 I CA <br /> <br /> See Page Totals (Add all arnounts with the same Accounting Period Totals (Complete only fur last 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) $ 450,00 Cash (CA) $ <br /> in Calnpalgn Emer on Smnmary Statement, <br /> Finance <br /> Manual in-Kind (IK) $ <br /> Enter on Snmmar5 Statement CO[[tIBB <br /> <br /> PC 2 Loans Received (LR) $ <br /> Enter on Smmniu¢ Statement, Colunm A. Line 2 <br /> <br /> <br />