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Cash Contributions, Loans Received and n-Kind <br />Candidate or Political Committee Name: Committee 1D Number: <br />Kitty Piercy for Mayor n/a Page 18 <br /> <br />Election: [] Primary 200__44 [~ General 20__ [~ Other _ _ <br />Report: [~ 1st Pre-election [~ 2nd Pre-election [] Post-election [~ 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contri~3utor 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 In-Kind Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Recelved Occupational Information or Contributor Code 1 Code 2 <br /> Contributing Committee's ID'CC Aggregate <br /> <br /> William Buskirk P O Box 50984 <br /> 1. Eugene OR 97405 $ 100 00 <br /> <br /> 5/18/2004 retired $ 100 00 ~ CA <br /> <br /> Robert Daugherty 2295 University St <br /> 2. Eugene OR 97403 $ 100.00 <br /> <br /> 5/10~2004 <br /> Physician $ 100 00 1 CA <br /> <br /> Donald Eckenrode 750 Foothill Dr. <br /> 3. Eugene OR 97405 $ 100 00 <br /> <br /> 5/2O/2O04 <br /> Retired $ 100.00 I CA <br /> <br /> Lynne Fessenden 95348 Grimes Rd. <br /> 4 Junction City OR 97448 $ 50.00 <br /> <br /> 6/3/2004 <br /> Sc~ent,st $ 100.00 ~ CA <br /> <br /> Gary Gillespie P.O. Box 1 <br /> 5 Eugene OR 97440 $ 100 00 <br /> <br /> 5/10/2004 Adrmmstrative Assistant $ 100.00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Aeeounting Period Totals (Complete only t~r last page and <br /> Instructions contribution type, Do not include aggregates,) transfer these amounts to the Summary Statement, PC 1 .) <br /> on Back and Cash {CA) $ 450.00 Cash (CA) $ <br /> lB Campaign Enter on Surmna~ Statemer~t. Column A~ Linc 1 <br /> Finance <br /> Mmmal In-Kind (IK) $ ~ In-Kind (IK) $ <br /> Enter ~m Smmr~ary Stateme~tt Colmnn A, Lme~ 4 a~d '} <br /> <br /> PC 2 Loans Received (LR) $ Loans Received (LR) $ <br /> Enter on Smmnar~ Stat-emer~t, Column A, Line 2 <br /> <br /> <br />