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PC 2 <br /> Cash Contributions, Loans Received and <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Pa~e 3 of <br /> <br />Election: ~ Primary 200~4 E~] General 20__ [] Other __ <br />Report' ET] 1st Pre-election ~ 2nd Pre-election [] Post-election E~ 20__ September Supplemental <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 Politmal Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> 0 Other <br /> P Political Party Committee <br /> <br /> Amount of In-K~nd Purpose <br /> Dne # Name and Address of Contributor <br /> Contnbutton (see manual for suggested purpose codes) <br /> <br /> Date Recelved Occupat¢onal Information or Contributor Code 1 Code 2 <br /> Contributing Committee's ID¢¢ Aggregate <br /> <br /> Ron Budey 28234 Bn99s <br /> 1 Rd Eugene OR 97405 $ 500 00 <br /> <br /> 4/19/2004 Writer $ 500 00 t CA <br /> <br /> Donald Van Houten 768 W. <br /> 2 10th Ave Eugene OR $ 300 00 <br /> 97402 <br /> <br /> 4/27/2004 Rebred $ 350.00 I CA <br /> <br /> Oregon AFL-CiO 2110 State <br /> 3 St Eugene OR 97301 $ 350.00 <br /> <br /> 4/15/2004 ID#000032 $ 350.00 C CA <br /> <br /> Jean Davldson 2295 <br /> 4 R~vervlew St Eugene OR $ 200 00 <br /> 97403 <br /> <br /> 4/25/2004 Counsellor $ 300 00 I CA <br /> <br /> Jean Dawdson 2295 <br /> 5 Riverwew St Eugene OR $ $20 00 <br /> 97403 <br /> <br /> 4/25/2004 Counsellor $ 320 00 I CA <br /> <br /> See Page Totals (Add ali amounts with the same Aecountittg Period Totals (Complete only fbr last page and <br /> Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement. PC <br /> <br /> on Back and Cash (CA) $1,370 O0 Cash (CA) $ ~ <br /> in Campaign Enter on Summao Statement Column A <br /> Finance <br /> Manual In-Kind (iK) $ ~ In-Kind (iK) $ <br /> ~nter on St~¢lmar5 St2ttcnlen[ Column A <br /> <br /> PC 2 Loans Received (LR) $ __ Loans Received (LR} $ __ <br /> Enter on Summdr5 Statement, Cohtmn A L,n¢ 2 <br /> <br /> <br />