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Cash Contributions, Loans Received and in-Kind <br />Candidate or Political Committee Name: Committee ID Number' <br />Kitty Piercy for Mayor n/a Page 2_~8 of ~ <br /> <br />Election ~ Primao 200~4 [] General 20__ [] Other__ <br />Repot1 [~ 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 Obhgation <br /> F Can&daWs Immediate Family (includes candidate) IK In-Kind <br /> I individual LR Loan Received <br /> L Labor Orgamzation <br /> O Other <br /> P Pohtical Party Cotmmttee <br /> <br /> Amount of In-Ktnd Purpose <br /> Dne # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Recewed Occupational Information or Contnbutor Code ~ Code 2 <br /> Contributing Committee's ID# Aggregate <br /> <br /> Robin Weft 190 E 49th <br /> 1 Eugene OR 97405 $ 100 00 <br /> <br /> 3/412004 Energy Spec~ahst $ 100 00 I CA <br /> <br /> Robert Weiss 5338 Tahslh St, <br /> 2 Eugene OR 97405 $ 200 00 <br /> <br /> 3/1/2004 Professor EmentusfPsycholog~st $ 200 00 t CA <br /> <br /> Jerry Welsh 2051 Dogwood <br /> 3 Eugene OR 97405 $ 250 00 <br /> <br /> 3/7/2004 Retired $ 250 00 I CA <br /> <br /> Sarah Weston 2595 Highland Dr <br /> 4 Eugene OR 97403 $ 100 00 <br /> <br /> 3/10/2004 Homemaker $ 100 00 I CA <br /> <br /> Pamela Whyte 10 Monroe St <br /> 5 Eugene OR 97402 $ 100 00 <br /> <br /> 1/2812004 CPA $ 100 00 I CA <br /> <br /> See Page Totals (Add al~ amounts with the same Accounting Period Totals (Complete ertl5 ~or last page and <br /> lnstru~tion~ contribunon type. Do not include aggregates,) transfer these amounts to the Summau~ Statement, PC <br /> on Back and Cash {CA) $ 750 00 Cash (CA) $ <br /> in Campaign Ent¢t oit bammao ¢,~atcmem. Cobmm ~. Linc 1 <br /> Finance <br /> Manual In-Kind (IK) $ la-Kind ilK} $ _ _ <br /> <br /> PC 2 Loans Received (LR> $ __ Loans Received (LRt $ <br /> <br /> <br />