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PC 2 <br /> Cash Contributions, Loans Received and In-Kind R,, <br /> <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Paae 3 of ~& <br /> <br />Election: [~ Primary 2004 [~ General 20__ [~ Other ~ <br />Report: [5~ 1st 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 EntitT CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) 1K In-Kind <br /> i individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political 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 /> <br /> Date Received Occupatmnai Information or Contributor Code l Code 2 <br /> Contributing Commlttee's ID¢¢ Aggregate <br /> <br /> Mary Ehzabeth Betts Sdver <br /> 1 2409 Lincoln St $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 3/16/2004 Rebred $ 100 00 I CA <br /> <br /> Anthony B~glan <br /> 22324 W. 28th Ave $ 100.00 <br /> Eugene OR 97405 <br /> <br /> 3/10t2004 Psychologist $ 100 00 I CA <br /> <br /> B~ng Blngham <br /> 3 697 Crest Dr $ 100 00 <br /> Eugene OR 97405 <br /> <br /> 3/6/2004 Rebred $ 100.00 I CA <br /> <br /> Jonathan Brandt <br /> 4 401 E Tenth Ave, Suite 530 $ 250 00 <br /> Eugene OR 97401 <br /> <br /> 1/2612004 F~nanc~al Planner $ 250 00 I CA <br /> <br /> Ann Brown <br /> 5 997 %ara St. $ 250 00 <br /> Eugene OR 97405 <br /> <br /> 3/21/2004 Rebred $ 250~00 i CA <br /> <br /> See Page Totals (Add all amounts vdth the same Accounting Period Totals (Complete only For hast page and <br /> Instructions contribution type. Do not include aggregates.) transfer these amounts to the Surrm}ary Statement, PC I. ~ <br /> <br /> on Back and Cash (CA) $ 800 O0 Cash (CA) $ _ <br /> in Campaign Enter on Summar~ Statement. C ott~mn A Line I <br /> Finance <br /> Manual In-Kind (IK) $ ~_ in-Kind (IK) $ __ <br /> Entel on Summar.~ St~temem Colmnn A Lilies 4 d. qd 9 <br /> <br /> PC 2 Loans Received (LR) $ __ Loans Received (LR} $ ~ <br /> Enter on Summary_ btatemem Column A. LIlle 2 <br /> <br /> <br />