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PC 2 <br /> Cash Contributions, Loans Received and n-Kind Re, ,:,,, <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page 2_ of~ <br /> <br />Election: [] Primary 2004 [] General 200__44 [~ 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 Fmnily (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Part>, Committee <br /> Amount of In-&nd Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor t <br /> Date Received Contributing Committee's ID¢¢ Aggregate Code 1 , Code 2 <br /> <br /> Doug Bales PO Box 10141Eugene OR <br /> 1 97440 $ 200 00 <br /> <br /> 7tl 112004 Stockbroker $ 200.00 I CA <br /> <br /> Bdl Busk~rk P.O Box 50984 Eugene OR <br /> 2 97405 $ 200 00 <br /> <br /> 8/27/2004 Retired $ 200 00 I t CA <br /> Caroline Forell 40 W 20th Ave. <br /> 3 Eugene OR 97405 $ 200 00 <br /> <br /> 8/25/2004 Professor $ 200 00 I CA <br /> <br /> Joint Council of Teamsters No. 37 <br /> 4 1872 NE 162nd Ave. Portland OR $ 200 00 <br /> 97230 <br /> <br /> Polibcal Fund No 000080 $ 200.00 C <br /> 8/19/2004 <br /> CA <br /> <br /> Kathleen MacLeod 6452 <br /> 5 Scimitar Dr San Diego CA $ 200 00 <br /> 92114 <br /> <br /> Retired $ 200 00 <br /> 7/30/2004 <br /> CA <br /> <br /> See Page Totals (Add all 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 1 .) <br /> <br /> on Back and Cash (CA) $1,000 00 Cash (CA) $ __ <br /> in Campaign Eater on Summar5 Statement. Column A. Line <br /> Finance <br /> Manual In-Kind (iK) $ ~ In-Kind (IK) $ <br /> Enter on Snmmar> Statement C~,lumn A. i mos 4 aad 9 <br /> <br /> PC 2 Loans Received (LR) $ __ Loans Received (LR) $ __ <br /> Enter on Snmmary Statement Column A, Line 2 <br /> <br /> <br />