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Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee ID ?'.lumber: <br />Kitty Piercy for Mayor n/a Page 24 of'~t <br /> <br />Election: ~ Primary 2004 [] General 20__ ~ Other __ <br />Report: El 1st Pre-elect~on [] 2nd Pre-election [~ Post-election E~ 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> <br /> B Business Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obligation <br /> ic Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I ln&vldual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kmd Purpose <br /> Dne # Name and Address of Contributor Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor Code ~ Code 2 <br /> Contributing Committee's ID¢ Aggregate <br /> <br /> Ron Tenmty 999 Brooks~de Dr <br /> 1 Eugene OR 97405 $ 100 00 <br /> <br /> 4~3/2004 Union Orgamzer $ 100 00 I CA <br /> <br /> Serafina Clarke 3973 Onyx <br /> 2 St. Eugene OR 97405 $ 100 00 <br /> <br /> 4~8~2004 County Program Services Coordinator $ 100 00 I CA <br /> <br /> Stephen Smith 128 <br /> 3 Lynbrook Dr~ Eugene OR $ 100 00 <br /> 97404 <br /> <br /> 4/28/2004 rebred $ 100 00 I CA <br /> <br /> Stryder Thompkins 2640 <br /> 4, McMdlan St Eugene OR $ 100.00 <br /> 97405 <br /> <br /> 413/2004 Consultant w~th Carol/Trevelyan Strategy $ 100 00 I CA <br /> Group <br /> <br /> Susan Connolly 189 W, <br /> 5 37th Ave. Eugene OR $ 100 00 <br /> 97405 <br /> <br /> 4/17t2004 Property Manager $ 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 aggregates.) transfer these amounts to the Summary Statement. PC 1~ ) <br /> <br /> on Back and Cash (CA') $ 500.00 Cash (CA) $ <br /> in Campaign Enter o~ Stmnnao Slatement. Co;mnn A~ Linc ] <br /> Finance <br /> Manual In-Kind (IK~ $ ~ In-Kind (IK) $ ~ <br /> Enter on Sulnma~ Statemen~ Colulnn A k111¢$ 4 311d c) <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ ~ <br /> Enter nn bumraau Statement Column A. Line 2 <br /> <br /> <br />