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Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee 1D Number: <br />Kitty Piercy for Mayor n/a Page 19 of 53 <br /> <br />Election: [] Primary 200~4 E~ General 20__ E~ Other ~ <br />Report: E] 1st Pre-election [] 2nd Pre-election [] Post-election E] 20__ September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE t: 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) tK In-Kind <br /> l lndMdual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of fmKtnd Purpose <br /> Dne # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor <br /> Date Received Contributing Committee's lDO Aggregate Code 1 , Code 2 <br /> Dawn Helwig 1470 E. 20th Ave. <br /> 1 Eugene OR 97403 $ 100.00 <br /> <br /> Dbrary OrgamzedFundraiser $ 100.00 t <br /> 5/1 <br /> 0/2004 <br /> CA <br /> <br /> Fred Hmtz 2125 Fairmount Blvd. <br /> 2 Eugene OR 97403 $ 100.00 <br /> <br /> Student $ 100.00 I <br /> 5/1 <br /> 6/2004 <br /> CA <br /> <br /> Demse Hotiz 2125 Fa~rmount Blvd, <br /> 3. Eugene OR 97403 $ 100.00 <br /> <br /> 5/16/2004 Student $ 100.00 I CA <br /> <br /> Kathryn Madden 70 W, 30th Ave, <br /> Eugene OR 97405 $ 50.00 <br /> <br /> Research Administrator $ 100,00 I [ <br /> 5/4/2004 <br /> CA <br /> <br /> Beth Naytor 2411 Monroe St. <br /> 5 Eugene OR 97405 $ 100~00 <br /> <br /> 5/21/2004 teacher $ 100 00 ~ CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only fbr last page m~d <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 Enter on Smmnary Stateroom Colttran a, Line 1 <br /> Finance <br /> Manual In-Kind (IK) $ ~ In-Kind (IK) $ <br /> Enter on SmnmaB Statement_ Culmmt &, I mos 4 aud O <br /> <br /> PC 2 Loans Received (LR) $ Loans Received (LR) $ ~ <br /> Enter on Summao Statement Cohmm A. Line 2 <br /> <br /> <br />