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?c 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 18 of <br /> <br />Election: [~ Primary. 2004 E~ General 20_ E~ Other ,__ <br />Report: El 1st Pre-election E~ 2nd Pre-election L~ Post-election El 20__ September Supp[ementa~ <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) iK in-Kind <br /> [ Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Part5, Committee <br /> <br /> Amount of In-Kind Purpose <br /> Lrne # Name and Address of Contributor Contribution (see manual for suggested purpose codes) <br /> Occupat~bnal <br /> Information <br /> or <br /> Contributor <br /> Code 1 I Code 2 <br /> Date Received Contributtng Committee's IDOl Aggregate <br /> <br /> Galen Phipps 56759 North Bank Rd <br /> <br /> 1. McKenz~e Bridge OR 97413 $ 150 00 <br /> <br /> Social Worker $ 150.00 I <br /> 5/1 <br /> 1/2004 <br /> CA <br /> <br /> BarbaraRose 381 Oak Leaf Dr. <br /> 2 Eugene OR 97404 $ 50 00 <br /> <br /> 5/11/2004 <br /> Retired $ 50.00 I CA <br /> <br /> BarbaraRose 381 Oak Leaf Dr. <br /> 3. Eugene OR 97404 $ 100,00 <br /> <br /> Retired $ 150 00 <br /> 5/20/2004 <br /> CA <br /> <br /> Rachel Strauber 1160 Park Ave <br /> 4 New York NY 10128 $ 150.00 <br /> <br /> 5/17~2004 Retired $ 150.00 1 CA <br /> <br /> Susan Wolling 85219 S. Willamette St <br /> 5 Eugene OR 97405 $ 50 00 <br /> <br /> 5/12t2004 ,registered nurse $ 150.00 ~ CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete chi? for 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 ICA) $ 500.00 Cash (CA) $ ~ <br /> in Campaign Enter on Summaw S~atemenL Column A, Line t <br /> E inance <br /> Manual In-Kind (IK) $ ~ In-Kind (IKt $ ~ <br /> Enter on Summar'~ Statement, Colmrm A. L,ne', 4 and ~; <br /> <br /> PC 2 Loans Received (LR) $ Loans Received (LR) $ ~ <br /> Enter on Smmllary_ Stalmltent. Cotu~m A, Lnle 2 <br /> <br /> <br />