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PC 2 <br /> Cash Contributions, Loans Received and in-Kind Re, <br /> <br />Can&date or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Pao~e 4 of ~ i <br /> <br />Elecnon' [] Primary 200.A4 [--1 General 20__ [] Other <br />Report: [~ 1st Pre-election [] 2nd Pre-election [] Post-elecnon [] 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 Political Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candMate) IK ln-K~nd <br /> 1 Indiwdual LR Loan Received <br /> L Labor Organizanon <br /> 0 Other <br /> P Political Party Committee <br /> <br /> Dne # Name and Address of Contributor Amount of ln-g~nd Purpose <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor <br /> Code ~ Code 2 <br /> Contributing Committee's IDI¢ Aggregate <br /> Caroline Forell 40 W 20th <br /> 1 Ave Eugene OR 97405 $ 100 00 <br /> <br /> 4~26~2004 Law Professor $ 300 00 I CA <br /> <br /> Robert O'Bnen 3525 Gilham Rd <br /> 2 Eugene OR 97408 $ 300 00 <br /> <br /> 4/19/2004 Professor $ 300 00 I CA <br /> <br /> Roberta Riley 1116 Grand Ave. <br /> 3 Seattle WA 98122 $ 300 00 <br /> <br /> 4/16/2004 Attorney $ 300 00 I CA <br /> <br /> Juh Miller 2141 Hams St <br /> 4 Eugene OR 97405 $ 250 00 <br /> <br /> 4~7/2004 Homemaker $ 250 00 I CA <br /> <br /> Martin Miller 2141 Harris St <br /> 5 Eugene OR 97405 $ 250.00 <br /> <br /> 4~7/2004 Geologist $ 250 00 ~ CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> Instrucnons contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement. PC 1~ ~ <br /> on Back and Cash (CA) $1,200 00 Cash/CA) $ __ <br /> in Campaign Enter on Sammarv Statement Coltmm A_ L~ne ~ <br /> Finance <br /> Manual In-Kind (IK) $ __ In-Kind (IK) $ __ <br /> Enter on Summao Statement Co[tllfln A Lines 4 add 9 <br /> <br /> PI_ 2 Loans Received (LR) $ __ Loans Received (LR) $ __ <br /> Entel OI1 _'3ttllilndF~ Statement Colnlrlll A. [ lOC 2 <br /> <br /> <br />