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Cash Contributions, Loans Received and <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Pa~e 1 of' <br /> <br />Election. ~;~ Pnmau 200~4 [] General 20__ E~ Other __ <br />Report: [] 1 st Pre-elecuon [] 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 Costgner Obligation <br /> F Can&date's Immediate Family (includes candidate} IK In-Kind <br /> 1 Individual LR Loan Recewed <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-K~nd Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Informah'on or Contributor Code 1 Code 2 <br /> Contributing Committee's IDf¢ Aggregate <br /> <br /> Joan Acker <br /> ~ 2031 Hilyard $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 2/19/2004 rebred $ 100 00 I CA <br /> <br /> John AIIcott <br /> 2 2650 Cresta De Ruta $ 250 00 <br /> Eugene OR 97403 <br /> <br /> 212612004 Physician/Therapist $ 250 00 I CA <br /> <br /> Joe Alsup <br /> 3 36 W 38th Ave $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 3/10/2004 School Pnnc~pal $ 100 00 I CA <br /> <br /> GdAvery <br /> 4 1175 F~ Lane $ 200 00 <br /> Eugene OR 97405 <br /> <br /> 3/16/2004 RetFed Episcopal Priest $ 200 00 t CA <br /> <br /> Summit Run Corp. <br /> 5 2780 Ol~ve St $ 100 00 <br /> Eugene OR 97405 <br /> 2/7/2004 $ 100 00 B CA <br /> <br /> S~e Page Totals (Add all amounts with the same Accounting Period Totals (Complete on}>, for last page and <br /> Instructions contribunon type. Do not include aggregates.) transfer these amounts to the Summar? Statement. PC <br /> on Back and Cash (CA) $ 750 00 Cash (CA) $ ~ <br /> in Campaign Emer,m Summarx Statement Colt, mn ~ ~mc I <br /> Finance <br /> Manual In-Kind (IK~ $ ~ In-Kind (IK) $ ~ <br /> <br /> PC 2 Loans Received (LR) $ __ Loans Received CLR} $ _- <br /> <br /> <br />