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Cash Contributions, Loans Received and In-Kind <br />Candidate or Pohtical Committee Name: Committee ID Nmr~ber: ¢*.~ '~, <br />Kitty Piercy for Mayor n/a Pa~e 5 of ~'' ~ <br /> <br />Election: [] Primary 200i4 E~ General 20__ [] Other ~ <br />Report E] 1st Pre-election [] 2nd Pre-election [] Post-election E~ 20__ September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE ~: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obhgation <br /> F Candidate's Immediate Family (includes candidate) tK la-Kind <br /> [ Individual LR Loan Received <br /> L Labor Organization <br /> O Other' <br /> P Pohtical Party Committee <br /> <br /> Line # Name and Address of Contributor Amount of in-&nd Purpose <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Recewed Occupational information or Contributor <br /> Contributing Committee's/DC Aggregate Code ~ Code 2 <br /> <br /> Robert Melmck 1870 E 27th Ave <br /> I Eugene OR 97403 $ 150 00 <br /> <br /> 4/28/2004 ua Architecture Prof $ 250 00 I CA <br /> <br /> Suzanne Bunker 1870 E. <br /> 2 27th Ave Eugene OR $ 150 00 <br /> 974O3 <br /> <br /> 4/28/2004 Commumty Colleg Instructor $ 250 00 I CA <br /> <br /> Amy Carpenter 1280 Mill <br /> 3 St Eugene OR 97401 $ 200 00 <br /> <br /> 4/27/2004 Owner/Manager, Book Umverse, lnc $ 200 00 I CA <br /> <br /> Arnold Ismach 5326 Tahsih St <br /> 4 Eugene OR 97405 $ 100.00 <br /> <br /> 4/15/2004 Retired $ 200 00 I CA <br /> <br /> BarbaraSkiar 2435 Jackson St <br /> 5 Eugene OR 97405 $ 150 00 <br /> <br /> 4/8/2004 Homemaker $ 200 00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> Instructions contribution ~pe~ Do not include aggregates. ~ transfer these amounts to the Summm2¢ Statement, PC l~'~ <br /> on Back m~d Cash (CA) $ 750 00 Cash (CA) $ <br /> in Campaign -- <br /> Finance <br /> Manual In-Kind (IK) $ - In-Kind (IK) $ <br /> <br /> PC' 2 Loans Received (LR) $ __ Loans Received (LR) $ __ <br /> Enter on Snnnna~? Statement. Colump A_ Line 2 <br /> <br /> <br />