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PC 2 <br /> Cash Contributions, Loans Received and [n-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page 16 of ~( <br /> <br />Election: [~ Primary 2004 E~ General 20__ E~ Other __ <br />Report: E~ 1st Pre-election [] 2nd Pre-election ['-1 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 /> l Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> # Name and Address of Contributor Amount of I In-Kind Purpose <br /> Dne <br /> Contnbutton I' (see manual for suggested purpose cedes) <br /> <br /> Date Received Occupational Informatlon or Contributor Code I Code 2 <br /> Contributing Commtttee's IDg Aggregate <br /> <br /> Ehzabeth Pownall 83 Marlboro <br /> I Ln Eugene OR 97405 $ 100 00 <br /> <br /> 4/12/2004 Writer $ 100 00 I CA <br /> <br /> Ellen Scott 5217 Cold Springs <br /> Way Eugene OR 97405 $ 100 00 <br /> <br /> 4/12/2004 Professor $ 100 00 I CA <br /> <br /> Enk Fisher 2660 Falrmount <br /> 3 Blvd Eugene OR 97403 $ 100 00 <br /> <br /> 4/14/2004 Psychtatr~st $ 100 00 I CA <br /> <br /> Esther Jacobson-Tepher <br /> 4 3177 Owl Road EugeneOR $ 100 00 <br /> 97405 <br /> <br /> 4/8/2004 Professor $ 100 00 ~ CA <br /> <br /> Fred Tepfer 1380 Ba~ley Ave <br /> 5 Eugene OR 97402 $ 100 00 <br /> <br /> 4~24~2004 Architect $ 100 00 I CA <br /> <br /> See Page Totals (Add ail amounts with the same Accounting Period Totals (Complete only ~'or last page and <br /> instructions contribution type, Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1, ) <br /> <br /> on Back and Cash (CA) $ 500 00 Cash (CA) $ __ <br /> in Campaign gmer on Summm5 Stat~me~U Cotmnn A, t. mc t <br /> Finance <br /> Manual In-Kind (IK) $ In-Kind IlK) $ ~ <br /> Enter on Summa~5 %tatemenL L olmnt~ A i mos -I a~d 9 <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ __ <br /> E~tgr on Sttltllllat-_~ Statemenl, ~.'Olqlllll A, Liiiu 2 <br /> <br /> <br />