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Pc 2 <br /> Cash Contributions, Loans Received and n-Kind <br />Candidate or Pohtical Committee 'Name: Committee ID N umber: <br />Kitty Piercy for Mayor n/a Page _5 ot'3~__ <br />Election: [] Primary 200_A4 [] General 200__44 [] Other __ <br />Report: [] 1st Pre-election E~ 2nd Pre-election [] Post-elecnon ~ 20__ September SupplementM <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) tK In-Kind <br /> I individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Parry Committee <br /> <br /> Amount of In-&nd Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Recewed Occupational information or Contributor Code '/ Code 2 <br /> Contributing Committee's ID¢¢ Aggregate <br /> <br /> Larry Brink 2242 Riverwew St <br /> I Eugene OR 97403 $ 100 00 <br /> <br /> 8/3O/20O4 <br /> Construction Contractor $ 100 00 I CA <br /> <br /> Deborah Cordell 2913 Ehsa Ct <br /> 2. Medford OR 97504 $ 100 00 <br /> <br /> 7/12/2004 <br /> Not Employed $ 100 00 ~ CA <br /> <br /> Sue Dockstader 1163 W <br /> 3 4th Ave Eugene OR $ 250.00 <br /> 97402 <br /> <br /> 9/8/2004 F~reflghter $ 250 00 I CA <br /> <br /> Chnstme M~tchell 1163 W <br /> 4 4th Ave. Eugene OR $ 250 00 <br /> 97402 <br /> <br /> 9/8/2004 <br /> Set Designer $ 250.00 I CA <br /> <br /> Thomas Pnngle 3295 <br /> 5 Kmcad St Eugene OR $ 250 00 <br /> 97405 <br /> <br /> 9/8/2004 <br /> B~o Medical Consultant $ 250 00 I 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 13 <br /> <br /> on Back and Cash (CA) $ 950 00 Cash (CA) $ ~ <br /> in Campaign Emer on Smnma~ StatemenL Column A, Line I <br /> Finance <br /> Manual In-Kind (IK} $ ---- In-Kind (1K) $ ~ <br /> Enter on Summary' Statement CoMnn A. Lines 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ ,__ Loans Received qLR) $ <br /> Enter on Summa~ Statement Cohmm A. Line 2 <br /> <br /> <br />