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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 Pa~e 25 of'~ [ <br />Election: [~ Primary 200_¢_4 E~ General 20__ [-1 Other__ <br />ReporL ~_~ 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 Obligatmn <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> 1 Individual LR Loan Received <br /> L Labor Organizanon <br /> O Other <br /> P Political Part¢ Committee <br /> <br /> Amount of ln-Kmd Purpose <br /> Dne # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Recelved Occupational Information or Contributor Code 1 Code 2 <br /> Contributing Commtttee's ID# Aggregate <br /> <br /> Thomas Pnngle 3295 <br /> I Kinca]d St. Eugene OR $ 100 00 <br /> 97405 <br /> <br /> 4/13/2004 b~omed~cal consultant $ 100 00 I CA <br /> <br /> Wdham Balsom 83 Marlboro Ln. <br /> Eugene OR 97405 $ 100 00 <br /> <br /> 4/12/2004 Physician $ 100 00 I CA <br /> <br /> Leslie Brockelbank 1527 W <br /> 25th Eugene OR 97405 $ 20.00 <br /> <br /> 4/23/2004 Retired $ 80 00 I CA <br /> <br /> Ahc~a Hays 274 Regal Court <br /> 4 Eugene OR 97401 $ 75 00 <br /> <br /> 4/16/2004 Director, County Department Children and <br /> Families $ 75 00 I CA <br /> <br /> Ahson Peara 410 E, 34th Ave, <br /> 5 Eugene OR 97405 $ 75.00 <br /> <br /> 4t10/2004 Non-Profit D,rector $ 75 00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete onl~ 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) $ 370 00 Cash (,CA) $ ~ <br /> in Campaign Emcr on Smmnar5 Statement, Column A Line ~ <br /> Finance <br /> Manual In-Kind (IK) $~ In-Kind t, IK) $ <br /> Entel (Jrt Surm'aat),' Stalement. Column A. Lines 4 ami 9 <br /> <br /> PC 2 Loans Received (LR} $ ~ Loans Received (LR} $ __ <br /> Enter on Smnma~:~ Statement. Column _5 Line 2 <br /> <br /> <br />