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PC L <br /> Cash Contributions, Loans Received and In-Kind <br />Candidate or Polmcal Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page 14 of ~ ~ <br /> <br />E~ection: [] 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 Obligauon <br /> F Candidate's Immediate Family (includes candidate) IK in-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of ln-K~nd Purpose <br /> Line # Name and Address of Contributor <br /> Contributton (see manual for suggested purpose codes) <br /> Occupational Information or Contributor Code l I Code 2 <br /> Date Received Contnbuhng Committee's ID¢¢ Aggregate <br /> <br /> Carohne Woollard 282 <br /> 1 Sterhng Ave. Eugene OR $ 100 00 <br /> 97404 <br /> <br /> 4~27/2004 retired $ 100 00 I CA <br /> <br /> Chnsbne Miles 1543 Happy <br /> <br /> 2 Lane Eugene OR 97401 $ 100 00 <br /> <br /> 4120/2004 Healthcare Administrator $ 100 00 ~ CA <br /> <br /> Constance Brown 35401 Row <br /> 3 River Rd. #3 Eugene OR 97424 $ 100 00 <br /> <br /> 4/28~2004 Rebred $ 100,00 I CA <br /> <br /> Daniel Pope 3322 Ohve St <br /> 4 Eugene OR 97405 $ 50 00 <br /> <br /> 4/13/2004 Retired $ 100 00 I CA <br /> <br /> Daniel Goldnch 2262 Birch <br /> 5 Ln Eugene OR 97403 $ 100.00 <br /> <br /> 4/12~2004 Retired $ 100.00 ~ CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> Instructions contribution type. Do not include aggregates3 transfer these amounts to the Summar~ Statement, PC <br /> <br /> on Back and Cash {.CA) $ 450 00 Cash (CA) $ ~ <br /> in Campaign Enter on Summar,~ %tatmnem, Cc, lunm <br /> Finance <br /> Manual in-Kmd (IK) $ _ In-Kind (IK) $ _ <br /> £mel un Summacv Statement_ Coh~mn <br /> <br /> PC 2 Loans Received (LR) $ Loans Received (LR) $ ~ <br /> Entc~ on Sttlllllla~ Stalelllellt Cohlllld <br /> <br /> <br />