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Pt' Cash Contributions, Loans Received and n-Kind Candidate or Political Committee Name' Committee ID Number K~tty Piercy for Mayor n/a Pa~.e 21 of }} Elect~on: ~_~ Primary 200_~4 [] General 20__ E~ Other __ Report' ~ 1st Pre-election [] 2nd Pre-election E~ Post-election [] 20__ September Supplemental SEE BA£ K FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business EntIty CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obhgation F Candidate's Immediate Family (includes candidate) IK In-Kind 1 lndiwdual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of In-K~nd Purpose Dne # Name and Address of Contributor Comnbut~on (see manual for suggested purpose codes) Occupational Information or Co~tnbutor Code ~I I Code 2 Date Received Contributing Committee's ID¢¢ Aggregate Ann Muller 1330 E 25th Ave Eugene OR 97403 $ 100 00 2/7t2004 Retired $ 100 00 I CA Lucmda Mumz-Hale 2811 Tandy 2 Turn Eugene OR 97401 $ 100 00 2~5/2004 Soc~a~ Worker $ 100 00 CA Judith A Nakhmklan-We~ntraub 3 2135 Essex Lane EugeneOR $ 100 00 97403 1126/2004 mvesbgator $ 100 00 I CA Deborah Noble 4990 West 4 Hdls~de Dr Eugene OR $ 500 00 97405 2/5/2004 Business owner (t~mber sales) $ 500 00 t CA Patnc~a Noyes 2014 Elk Ave 5 Eugene OR 97403 $ 300 00 3131/2004 ReSted $ 300 00 I CA See Page Totals (Add alt amounts with the same Accounting Period Totals tOomplete only for ~ast page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summa on Back and Cash (CA) $1,100 00 Cash (CA) $ _ in Campaign Eme, Finance Manual In-Kind (IK) $ ~ In-Kind (1K) $ __ PC 2 Loans Received (LR}