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Cash Contributions, Loans Received and In-Kind <' <br />Candidate or Political Committee Name: Committee ID Number' <br />Kitty Piercy for Mayor n/a Page 21 of 23 <br /> <br />Election. [~ Primary 200_A4 [] General 20__ [~ 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) 1K In-Kind <br /> l individual LR Loan Recetved <br /> L Labor Organization <br /> 0 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 <br /> Information <br /> or <br /> Contributor <br /> Code l f Code 2 <br /> Date Recetved Contributing Committee's ID# Aggregate <br /> <br /> R~chardZeller 5283 W, Amazon <br /> I Eugene OR 97405 $ 100 00 <br /> <br /> 6/3/2O04 <br /> Rebred $ 100 00 I CA <br /> <br /> Rex Fox 615 Pnncess Ave. <br /> 2 Eugene OR 97405 $ 25.00 <br /> <br /> 5/22/2004 <br /> Credit Umon Manager $ 75 00 ~ CA <br /> <br /> Leonard Hockley220 N. Adams <br /> 3 Eugene OR 97402 $ 25.00 <br /> <br /> 5/11/2004 <br /> Information Specialist $ 75.00 I CA <br /> <br /> Judy Volem 2362 Chamelton St <br /> 4 Eugene OR 97405 $ 25 00 <br /> <br /> 5/24/2004 <br /> Teacher $ 75.00 I CA <br /> <br /> 196 Misc, contributions of $50 & Under <br /> 5 $ 6634 <br /> <br /> 5/3-6/7/04 $ CA <br /> <br /> See Page Totals (Add ail amounts with the same Accounting Period Totals (Complete only 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 (CA) $ 6,809 00 Cash (CA) <br /> in Campaign Enter on <br /> Finance <br /> Manual In-Kind (IK) $. - in-Kind (IK) $ - <br /> Enter on Surmnarv Statement, Cokmm A LIBeq 4 and c~ <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ <br /> Fnter on Snmmary Statement, Column A_. Line 2 <br /> <br /> <br />