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eL 2 <br /> Cash Contributions, Loans Received and in-Kind <br />Candidate or Political Committee Name: Committee ID Number. <br />Kitty Piercy for Mayor nta Paae 12 of <br /> <br />Election: [] Primary 200_A [] General 20__ [] Other __ <br />Report: [] 1st Pre-election [] 2nd Pre-election [~1 Post-election [~1 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 /> [: Candidate's immediate Family tincludes candidate) IK Fa-Kind <br /> 1 Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In4~lnd Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational information or Contributor Code 1 I Code 2 <br /> Date Received Contributing Committee's ID¢¢ Aggrecate <br /> <br /> Bill Goldsmith <br /> 1 390 E 30th Ave $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 1/28/2004 Rebred $ 100 00 I CA <br /> <br /> Denms Gordmeer <br /> 2 821 Kelly $ 100 00 <br /> Eugene OR 97404 <br /> <br /> 2/19/2004 teaching assistant $ 100,00 I CA <br /> <br /> Dawd Gusset <br /> 3 16'11 Lincoln St $ 100 00 <br /> Eugene OR 97401 <br /> <br /> 2/5/2004 Viohn Maker $ 100 00 { <br /> CA <br /> <br /> Allen Hancock <br /> 4 2244 Aider St $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 3/31/2004 Non profit consultant $ 100 00 I CA <br /> <br /> Cece Headley <br /> 5 1204 Sunnys~de Dr $ 100 00 <br /> Eugene OR 97404 <br /> <br /> 3/17~2004 Forester $ 100 00 I <br /> CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only ~br last page and <br /> Instructions contribution ty'pe. Do not include aggregates.) transfer' these amounts to the SummaD Statement, PC <br /> on Back and Cash (CA) $ 500 00 Cash (CA) $ <br /> ill Campaign Enmr on Summarx SLllem¢Irt. Coitum, A Linc <br /> Fmance <br /> Mantra} In-Kind (IK) $ __ In-Kind (IK) $ <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ ~ <br /> gnrer on SdllllI'tar? Statement Cl)JttlBh ;Sx, LIBO 2 <br /> <br /> <br />