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PC' <br /> Cash Contributions, Loans Received and In-Kind <br />Candidate or PoLitical Committee Name: Co~nmittee ID Number. <br />Kitty Piercy for Mayor n/a Page 20 of ~ <br /> <br />Election' [] Primary 2004 [~ General 20__ [~1 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 Obliganon <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 tn-K~nd Purpose <br /> LJne # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupat¢onal Information or Contributor Code 1 Code 2 <br /> Contributing Committee's ID¢ Aggregate <br /> <br /> Larry Brink 2242 Riverv~ew St <br /> 1 Eugene OR 97403 $ 100 00 <br /> <br /> 4/28~2004 General Contractor $ 100 00 I CA <br /> <br /> Dnda Frederick 180 W. <br /> 2, 15th Ave. Eugene OR $ 100.00 <br /> 97401 <br /> <br /> 4/6/2004 Retired $ 100 00 I CA <br /> <br /> Lou~s Smmger 25416 Irene <br /> 3 St Eugene OR 97437 $ 50,00 <br /> <br /> 4/1412004 Union Representabve $ 100 00 ~ CA <br /> <br /> Lynn Stephen 2346 Aider ' <br /> 4 St. Eugene OR 97405 $ 100.00 <br /> <br /> 4/21/2004 Professor $ 100.00 I CA <br /> <br /> Marcia Meyer 600 Cherry Dr 1 <br /> 5 Eugene OR 97401 $ 100.00 <br /> <br /> 4/26~2004 rettred $ 100.00 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 type. Do not include aggregates.) transfer these amounts to the Summa~ Statement, PC 1 .) <br /> on Back and Cash (CA) $ 450 00 Cash (CA) $ __ <br /> lB Campaign Enter on 5ummao Statement, Coklmn )~ Line I <br /> Finance <br /> Manual In-Kind (IK) $ ~ in-Kind (IK) $ ~ <br /> El;tel on btllYn'fl.tD Statement Co[mnn A. Lmm', 4 2vM ~) <br /> <br /> PC 2 Loans Received (LR) $ __ Loans Received (LR) $ _ <br /> Enter on SummaD Statement. C ulumn A, Linc 2 <br /> <br /> <br />