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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 15 of ~ <br /> <br />Election. [] Primary 2004 [~ General 20__ E~] Other __ <br />Report: E~ ]st Pre-election E~ 2nd Pre-elect/on [] Post-election E~ 20__ September Supplemental <br /> <br />SEE BACK FOR INSTR, UCTION$ 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) 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 tn-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 /> Contnbuttng Committee's ID# Aggregate <br /> <br /> Joan Connolty 109 Oakleigh Ln. <br /> 1 Eugene OR 97404 $ 150.00 <br /> <br /> 5/11/2004 <br /> M ustc Teacher $ 150,00 I CA <br /> <br /> Darnel Goldnch 2262 Birch Ln, <br /> Eugene OR 97403 $ 50 00 <br /> <br /> 5/11/2004 <br /> Retired $ 150.00 I CA <br /> <br /> SIoan Heermance 2406 Lawrence <br /> 3 Alley Eugene OR 97405 $ 50 00 <br /> <br /> 5111/2004 <br /> Wnter $ 150.00 I CA <br /> <br /> Martin Jones 2300 Parkside Ln, <br /> 4 Eugene OR 97403 $ 50.00 <br /> <br /> 5/11/2004 Physician $ 150.00 ~ I CA <br /> <br /> Charlene Phipps 56759 North Bank <br /> <br /> 5 Rd. McKenzie Bridge OR $ 150,00 <br /> 97413 <br /> <br /> 5/11/2004 LCC Assistant D~rector of counseling $ 150 00 <br /> CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (.Complete only fbr last page and <br /> Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) <br /> <br /> on Back and Cash (CA) $ 450.00 Cash (CA) $ <br /> in Campaign Ente~ on Sumanary Statement_ Colunm <br /> Finance <br /> Manual In-Kind ([K) $ -~- In-Kind (IK) <br /> Enter on Smm~iar5 Statement. Column A, Ltnes 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ Loans Received (LR) $ <br /> Enter on Sm-nmar5 Statement, Colttm~l A Lillc 2 <br /> <br /> <br />