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PC 2 Cash Contributions, Loans Received and in-Kind Candidate or Pohtical Committee Name: Committee ID Number' Kitty Piercy for Mayor n/a Page 1_ of_~_ Elec[~on: [~ Primary 2004 [] General 20__ [] Other___ Report' [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes bustness and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK ImKmd I Individual LR Loan Received L Labor Organization O Other P Poht~cal Party Committee Amount of In-Ktnd Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information or Contributor Code 1 Code 2 Contributing Committee's ID# Aggregate Amta Johnson 2288 B~rch ~ Lane Eugene OR 97403 $ 500 00 4/2~2004 Journahst $ 1,000 00 I CA Caw Thompson 966 2 Jackson Eugene OR $ 500.00 97402 4/16/2004 Retired $ t ,000 00 I CA Deborah Noble 4990 W. 3 Hillside Dr Eugene OR $ 500 00 97405 4/13/2004 Brokerage Business Owner $ 1,000 00 I CA Steve Adey 2385 Madrona Dr. 4 Eugene OR 97403 $ 1,000 00 4/27/2004 Teacher $ 1,000 00 I [ CA Tom Bowerman 33707 5 McKenzle View Eugene OR 97408 $ 1,000.00 4/27/2004 property manager $ 1,000 00 I CA See Page Totals (Add all amounts with the same Acconnting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the SummaE? Statement, PC /,) on Back and Cash (CA) $ 3,500 O0 Cash (CA) $ ~ in Campaign Enter on Sunnnao Stateme.,a. Column A, [ nte 1 Finance Manual In-Kind (IK) $ __ In-Kind (IK) $ ~ Ente~ on Summau Stare'riehL Cohum~ A [ roes 4 at~d 9 PC 2 Loans Received (LR) $ ~ Loans Received (LRI $ ~ F~ltel O[/Summao btatemem Coltdllll A Lltte 2