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Cash Contributions, Loans Received and In-Kind <br />Candidate or Pohtical Committee Name' Committee ID Number <br />Kitty Piercy for Mayor ale Page 10 of <br /> <br />Electkm: [~ Primer> 200._4_4 [] General 20__ [] Other __ <br />Report' [~ 1st Pre-election [] 2nd Pre-elect~on [] Post-election [] 20__ September Supplemental <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 Obhgation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> t) Other <br /> P Political Part), Committee <br /> <br /> Dne # Name and Address of Contributor Amount of /n-&nd Purpose <br /> Contnbutton (see manual for suggested purpose codes) <br /> <br /> Date Recetved Occupational Information or Contributor <br /> Contributing Commtttee's ID# Aggregate Code 7 Code 2 <br /> Caroline Forell <br /> I 40 W 20th $ 200 00 <br /> Eugene OR 97405 <br /> <br /> 1/28/2004 Law Professor $ 200 00 I CA <br /> <br /> Rachel Foster <br /> 2 3431 V~ew Lane $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 1/28/2004 Self Employed Gardemn9 Consultant/Writer $ 100 00 I CA <br /> <br /> Lawrence Fox <br /> 3 9 North Monroe St $ ~00 00 <br /> Eugene OR 97402 <br /> <br /> 3/10/2004 Civd Engineer $ 100 00 I CA <br /> <br /> Gmny Freeman <br /> 4 2650 Portland St. $ 75 00 <br /> Eugene OR 97405 <br /> <br /> 2/29/2004 retired $ 75 00 I CA <br /> <br /> Ronna Friend <br /> 5 2385 Madrona Dr $ 100 00 <br /> Eugene OR 97403 <br /> <br /> 2/29/2004 Psychotherap~stJTeacher $ 100.00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> lnstrdct~on~ contribution type, Do not include aggregates.) transfer these amounts to the Summar? Statement. PC 13 <br /> on Back and Cash (CA) $ 575 00 Cash (CA) $ <br /> in Campaign - -- <br /> Elite, Oll StllIH~laD_~ Stdfen~ent. Colmlm A <br /> Finance <br /> Manual in-Kind (IK) $ __ In-Kind ilK) $ <br /> <br /> PC 2 Loans Received {LR) $ ~ Loans Received (LR) $ __ <br /> <br /> <br />