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Pt <br /> Cash Contributions, Loans Received and In-Kind <br />(andidate or Pohticai Committee Name: Committee iD N umber: <br />Kitty Piercy for Mayor n/a Page 33 of 33 <br /> <br />Election: ~5~ Primary 2004 [~ General 20__ l---] Other <br />Report: ~] 1 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 Polmcal Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's immediate Family (includes candidate) [K in-Kind <br /> I lndi¥idual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Pohtical Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> Occupational <br /> Information <br /> or <br /> Contnbutor <br /> Code ? / Code 2 <br /> Date Received Contributing Committee's ID~ Aggregate <br /> <br /> EMERALD VALLEY KITCHEN, INC <br /> 1 90472 Woodruff St $ 50 00 5 cases d~p/salsa - Fundra~smg <br /> Eugene OR 97402 event <br /> <br /> 3/912004 $ 50 00 B <br /> <br /> C B S~mons <br /> 2 215 W 5th $ 426.76 off~ce space <br /> Eugene OR 97401 <br /> <br /> 3/5/04- <br /> Realtor $ 426 76 I <br /> 3/31/04 <br /> <br /> D~anne Lobes <br /> 3 160 E 37th Ave $ 7,98 Apple juice - Fundra~smg event <br /> Eugene OR 97405 <br /> <br /> 3~9~2004 Psychologist $ 27 98 l <br /> <br /> Lucmda Mumz-Hale <br /> 4 2811 Tandy Turn $ 60 00 photo development - Fundra~smg <br /> Eugene OR 97401 event <br /> <br /> 1/27/2004 Homemaker $ 60.00 I <br /> I <br /> <br /> 5 $ <br /> <br /> $ <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete onty for tast pag~ and <br /> instructions contribution type, Do not include aggregmes.) transfer these amounts to the Summary StatemenL PC 1. ~ <br /> <br /> on Back and Cash (CA) $ ~ Cash (CA/ $ 38,445 50 <br /> m Campaign E,~[e, 011 St£i~ltlLll3 Stalemcr,L Column A Line ! <br /> Finance <br /> Manual In-Kind ilK) $ 544 74 In-Kind (iK) $ 977 84 <br /> Enter on Summar~ Sta[cmc~:t Colturm A Lmc~ 4 and 9 <br /> <br /> PC 2 Loans Recewed (LR} $ ~ Loans Received ~LR} S 0 00 <br /> Enter on bulllI~d0 Statcme~ t Column A Line 2 <br /> <br /> <br />