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PC <br /> Cash Contributions, Loans Received and <br />Candidate or Political Committee Name: Committee 1D Number: <br />Kitty Piercy for Mayor n/a Page <br /> <br />Election: [] Primary 2004 [] General 20__ [] Other__ <br />Report. [~ 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 Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> ~ Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of ln44~nd Purpose <br /> bne # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor Code ~ Code 2 <br /> Contributing Committee's IDg Aggregate <br /> <br /> Carol Home 2221 Hawkins Lane <br /> 1 Eugene OR 97405 $ 100 00 <br /> <br /> 4~27/2004 WrltedResearch Assistant $ 200,00 I CA <br /> <br /> Deborah Olson 1755W. <br /> 2 25th Ave EugeneOR $ 100 00 97405 <br /> <br /> 4~28/2004 Professor $ 200 00 I CA <br /> <br /> Joan Acker 2031 H~lyard St <br /> 3 Eugene OR 97405 $ 100 00 <br /> <br /> 4/10/2004 Retired $ 200 00 I CA <br /> <br /> Linda Lew~s 1712 Estate Dr <br /> 4 Eugene OR 97405 $ 200 00 <br /> <br /> 4/28~2004 Umvers~ty Faculty $ 200 00 I CA <br /> <br /> Lora Byxbe 677W 23rd Ave <br /> 5 EugeneOR 97405 $ 100 00 <br /> <br /> 4/15~2004 Rebred $ 200.00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for hast page and <br /> Instructmns contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC ~,) <br /> <br /> on Back and Cash (CA) $ 600,00 Cash (CA) $ ~ <br /> in Campaign Enter oB SktlBl[lat~ Statement Column A. L,ne l <br /> Finance <br /> Mmmal In-Kind (IK) $ ~ In-Kind (IK) $ ~ <br /> Enter on SultlraatT Statement Coimnn A. Lines 4 and ~ <br /> <br /> PC 2 Loans Received (LR) $ __ Loans Received (LR) $ ~ <br /> Enter on Summar5 Statemeht. Column A, I..~e 2 <br /> <br /> <br />