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Cash Contributions, Loans Received and <br />Candidate or Political Committee Name: Committee I-D Number: <br />Kitty Piercy for Mayor n/a Pa~e 27 <br /> <br />Election: ~ Primary 200__&4 E~ General 20__ ~ Other __ <br />Report: E~ 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 Obligation <br /> F Candidate's Immediate Family (includes candidate) IK tn-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Dne # Name and Address of Contributor <br /> Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupattonal Information or Contributor Code ~ Code 2 <br /> Contributing Committee's IDg Aggregate <br /> <br /> M~ke Helm 1147 E 26th Ave <br /> 1. Eugene OR 97403 $ 25.00 <br /> <br /> 4/12/2004 Ph~losophedauthor $ 75 00 I CA <br /> <br /> Mmam Jordan P O Box 50683 <br /> Eugene OR 97405 $ 25 00 <br /> <br /> 4/21/2004 Exec Asst to Dir UO Museum of Art $ 75 00 I CA <br /> <br /> Molly Stafford 437 E. 11th Ave <br /> 3 Eugene OR 97401 $ 50,00 <br /> <br /> 04~22~04 RebredNolunteer $ 75.00 I CA <br /> <br /> Ron Chase 924 Sunnyside Dr <br /> 4 Eugene OR 97404 $ 25.00 <br /> <br /> 4/2012004 Execubve Director--Sponsors Inc $ 75 00 ~ CA <br /> <br /> Ruth Simon 747 Brookside Dr <br /> 5 Eugene OR 97405 $ 50 00 <br /> <br /> 4/16/2004 Teacher $ 75,00 1 CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only tar last page and <br /> Instructions contribution type. Do not include aggregates.) transfbr these amounts to tt~e SummaLv Statement, PC 1~ ~ <br /> on Back and Cash (CA) $ J 75 00 Cash rCA) $ ~ <br /> in Campaign Enter on Smmnar~, Statemem, Colmm~ & Linc t <br /> Finance <br /> Manual tn-Kind (IK) $ In-Kind (IK} $ __ <br /> Enter on StLII111lal~ gtatemeflt Coldmn A_. L llles 4 olld ~ <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LRi $ ~ <br /> Ellier oil Stl~illllal'5 Statement COlUlll~l -k. LIlle 2 <br /> <br /> <br />