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Cash Con(ribu(ions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page _8 of'~ <br /> <br />Election: [] Primary 200~4 [~] General 20__ El 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 union PACs) CO Cosigner Obligation <br /> F Candidate's immediate Family (includes candidate) IlK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Part3, Committee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor <br /> Date Recetved Contributing Committeels lDO Aggregate Code I Code 2 <br /> <br /> Peter van H~ppel 1900 Crest <br /> I Dr Eugene OR 97405 $ 100.00 <br /> <br /> 5~4/2004 Professor $ 100.00 I CA <br /> <br /> West Moon Trading Co. 840 E. 13th <br /> 2 Ave Eugene OR 97401 $ 100.00 <br /> <br /> 5/6/2004 $ 100 00 B <br /> CA <br /> <br /> Susan Barnhart 1439 W. <br /> 3 4th Ave Eugene OR $ 25 00 <br /> 97402 <br /> <br /> 5/4/2004 Social Worker $ 95.00 I CA <br /> <br /> Carol McBrian 1875 W, <br /> 4, 15th Ave. Eugene OR $ 35 00 <br /> 97402 <br /> <br /> 5/4/2004 Substitute Teacher $ 85.00 ~ ~ CA <br /> <br /> Dlanne Lobes 180 E. 37th Ave. <br /> 5 Eugene OR 97405 $ 50,00 <br /> <br /> 5/512004 Psychologist $ 77.98 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (.Complete only for last page and <br /> instructions contribution type. Do not include aggregates.) trans~r these amounts to the Summary. Statement. PC 1 .) <br /> <br /> on Back as~d Cash (CA) $ 310 00 Cash (CA) $ <br /> in Campaign Enter on Smmnapv Statemenh Colmnn A. Line 1 <br /> Finance <br /> Manual In-Kind (IK) $ - In-Kind (iK) $ <br /> IEnte~ on Smmnary Statement, Column A. Lines 4 and t~ <br /> <br /> PC 2 Loans Received (LR) $ Loans Received (LR) $ ~ <br /> Enter on Suture:wy Statement. Cohnnn A, Linc 2 <br /> <br /> <br />