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PC 2 <br /> Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page 1_7 of <br /> <br />glecnon: [] Primary 200_4 [~ General 20__ [] Other __ <br />Report. [] 1 st 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 /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Parry Committee <br /> <br /> Amount of In-Kind Purpose <br /> One # Name and Address of Contributor <br /> Contnbut~on (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Informatton or Contributor Code I Code 2 <br /> Contributing Committee's IDff Aggregate <br /> <br /> Jan Becket 2153 Madtson St <br /> 1 Eugene OR 97405 $ 100 00 <br /> <br /> 4/312004 Self Employed Tax Consultant $ 100 00 I CA <br /> <br /> Jeff Davis 283 Spyglass Dr. <br /> 2 Eugene OR 97401 $ 100.00 <br /> <br /> 4~3~2004 Retired $ 100 00 I CA <br /> <br /> Joan Kelly 3265 Elmira Rd. <br /> 3 Eugene OR 97402 $ 100 00 <br /> <br /> 4/17/2004 Retired $ 100 00 I CA <br /> <br /> Johanna M~tchell 2175 <br /> 4 R~ve~iew St Eugene OR $ 50.00 <br /> 97403 <br /> <br /> 4/25~2004 Astrological Consultant $ 100 00 I CA <br /> <br /> John VanLandmgham 335 <br /> 5 North Grand Eugene OR $ 100,00 <br /> 97402 <br /> <br /> 4~3~2004 Non-profit pubhc ~nterest attorney $ 100 00 I <br /> 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 aggregates.) transfer these amounts to the SummaLv Statement. PC <br /> on Back and Cash {CA) $ 450.00, Cash (CA) $ <br /> in Campaign Ente~ on Suminar> Statemem Colunm A <br /> Finance <br /> Manual In-Kind (IK} $ ~ in-Kind (IK) $ <br /> Enter on Stu'Lmtar5 Statement, Column -\, [ roes 4 and o <br /> <br /> PC 2 Loans Received (LR/ $ ~ Loans Received (LR) $ __ <br /> Enter on Summar) Statement, Column A Lnle 2 <br /> <br /> <br />