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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 1 of 1 <br /> <br />Election: [] Primary 2004 [] General 2004 [] Other __ <br />Report: [] I st 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) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> 0 Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contnbutor <br /> Contributton (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Informat/on or Contributor Code 1 Code 2 <br /> Contributing Committee's ID~ Aggregate <br /> <br /> Comcast <br /> 1 2897 Chad Drive EugeneOR $ 1,000 00 <br /> 97408 <br /> <br /> 11/1/2004 n/a $ 1,000 00 C CA <br /> <br /> Manlyn Mflne P.O. Box 5602 <br /> 2 Eugene OR 97405 $ 200 00 <br /> <br /> 10/29/2004 <br /> Pubhc Relabons Consultant $ 205 00 I CA <br /> <br /> 1 M~scellaneous Cash Contnbubon of $50 <br /> 3 and Under $ 25.00 <br /> <br /> 10/25/2004 $ I CA <br /> <br /> 4 $ <br /> RECEIVED <br /> $ I CA <br /> NOV 3 0 <br /> <br /> CiTY RECORDER $ <br /> $ 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 1.) <br /> on Back and Cash (CA) $1 ~225.00 Cash (CA) $1,225.00 <br /> in Campaign Enter on Smnmary Statement, Colmnn <br /> Finance <br /> Manual In-Kind (IK) $ ~ In-Kind (IK) $ __ <br /> Enter on Sununary Statement, Column A, L~nes 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ __ <br /> Enter on Summary Statement, Column A~ Line 2 <br /> <br /> <br />