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PC ~ <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 13 of 13 <br /> <br />Election: E~ Primary 200_~4 [] General 2004 [] 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 Family (includes candidate) [K In-Kind <br /> I individual LR Loan Received <br /> k Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> bne # Name and Address of Contributor <br /> Contributton (see manual for suggested purpose codes) <br /> Occupattonal informatton or Contributor Code l t Code 2 <br /> Date Received Contributing Committee's IDt¢ Aggregate <br /> <br /> QSL PRINTING COMPANY, ABN of <br /> 1. QUICK SERVICE LITHO-PRINT CO, INC $ 315.00 L <br /> P.O Box 1184 EugeneOR 97440 <br /> <br /> 8/2012004 $ 315.00 B IK <br /> <br /> 2 $ <br /> <br /> $ I CA <br /> <br /> 3 $ <br /> <br /> $ I CA <br /> <br /> 4 $ <br /> <br /> $ I CA <br /> <br /> 5 $ <br /> <br /> $ ~ CA <br /> <br /> See [}age Totals (Add all amounts Mth the same Accounting ?eriod Totals (Complete only for last page and <br /> Instructions contribution t:ype. Do not include aggregates.) transfer these amounts to the Summary Statement. PC 13 <br /> <br /> on Back and Cash (CA) $ ~ Cash (CA) $ ~ ~,370 00 <br /> in Campaign Ente~ m~ Summao Statemem Column A~ [ .,ne 1 <br /> Finance <br /> Manual In-Kind (IK) $ ~ In-Kind (IK) $ 355 68 <br /> Enter un Summao Statement. Co[I. llIlll A. Lines 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ 2,000 00 <br /> Enter on Sulpa-n3r3 Statement, Coltunn A. Line 2 <br /> <br /> <br />