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PC <br /> Cash Contributions, Loans Received and <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page 2_~3 of~ <br /> <br />Election: [~ Primary 200~4 [] 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: 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 [n-Kind <br /> [ Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Dne # Name and Address of Contributor <br /> Contfibutlon (see manual for suggested purpose codes) <br /> Occupational Information or Contributor <br /> Date Received Contributing Committee's ID# Aggregate Code I , Code 2 <br /> <br /> Ray Eveland 280 Rosemary <br /> 1 Eugene OR 97404 $ 20.00 Blank CDs <br /> <br /> Retired $ 70.00 <br /> 5/14t2004 <br /> IK <br /> <br /> CB S~mons 215 W 5th Eugene OR <br /> 2 97401 $ 400.00 G - off~ce space <br /> <br /> 511-5125/04 Realtor $ 1,326.76 I IK <br /> <br /> McLauchlan Grey 2401 W. 22nd <br /> 3. Eugene OR 97405 $ 72.80 L - Printing costs <br /> <br /> 4/19~2O04 <br /> Umversity professor $ 522.80 I IK <br /> <br /> $ <br /> <br /> 5 $ <br /> <br /> $ <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 IJ <br /> <br /> on Back and Cash (CA) $ Cash (CA) $ 26,004 00 <br /> in Campaign Enter on Stm~mary Statement, Colnm~ ,A, Linc / <br /> Finance <br /> Manual ImKind (IK) $ 492.80 In*Kind (IK) $ 5,604 52 <br /> Emer on Sumll~aO Statemem, Column A. Lines 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ <br /> Enter on St~rnmar) StatemenL Column A Line 2 <br /> <br /> <br />