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Pc 2 <br /> Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page Z of~ <br /> <br />Election: [~ Primary 2004 [] General 200_~4 [~71 Other __ <br />Report: [] 1st Pre-election [] 2nd Pre-election [~1 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 Pohtical Committee (includes business and union PACs/ CO Costgner Obligation <br /> F Candidate's immediate Family (includes candidate) 1K In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Polincal Party Committee <br /> <br /> Amount of In-&nd Purpose <br /> Dne # Name and Address of Contributor <br /> Contnbutton (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor Code 1 Code 2 <br /> Contributing Committee's ID'CC Aggregate <br /> <br /> Sarah Hendnckson 1036 <br /> Adams Eugene OR 97402 $ 100 00 <br /> <br /> 8/26/2004 Physician $ 100 00 I CA <br /> <br /> Rosemary Hire 77500 S <br /> 2 6th St., Space B#22 Cottage Grove OR $ 100 00 <br /> 97424 <br /> <br /> 8~23~2004 Retired $ 100.00 CA <br /> <br /> Beverly Holman 1066 E 20th Ave <br /> 3 Eugene OR 97405 $ 100.00 <br /> <br /> 7111/2004 <br /> Psychologist $ 100.00 CA <br /> <br /> Arnold lsmach 5326 Tahslh St. <br /> 4 Eugene OR 97405 $ 100 00 <br /> <br /> 8~20/2004 Retired $ 100 00 CA <br /> <br /> Don Kahle 400 E 32nd Ave <br /> 5 Eugene OR 97405 $ 100.00 <br /> <br /> 7/11/2004 Publisher $ 100.00 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 Summaw Statement, PC 1.) <br /> on Back and Cash (CA) $ 500 00 Cash (CA) $ ~ <br /> in Campaign Enter ,on Summaw Statement. Column A, Line I <br /> Finance <br /> Manual ~n-Kind (1K) $ ~ In-Kind (IK) $ ~ <br /> Enter on St,mmao Statement Column A, Ltnes 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ .... Loans ReceNed (LR) $ __ <br /> Enter on Surnmao Statement, Cohlmn A Line 2 <br /> <br /> <br />