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PC ] <br /> Cash Contributions, Loans Received and in-Kind <br />Candida[e or Political Committee Name: Committee ID Ntlmber: of 5~ <br />Kitty Piercy for Mayor n/a Page 2__9_9 <br /> <br />Election: [~ Primary 20,0~4 [--1 General 20__ ~ Other __ <br />Report: [~1 I st Pre-election [~1 2nd Pre-election [] Post-election [] 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIIONS <br /> CODE t: 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 /> F Candidate's Immediate Family tincludes candidate~ IK In-Kind <br /> I lndNidual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of lo*and Purpose <br /> Line # Name and Address of Contributor Contnbut~on (see manual for suggested purpose codes} <br /> <br /> Occupattonal Information or Contributor Code '1 t Code 2 <br /> Date Received Contributing Committee's ID# Aggregate <br /> <br /> 260 Miscellaneous Cash Contributions of <br /> 1 $50 and Under $ 9,693 50 <br /> <br /> 412104-512t04 $ I CA <br /> <br /> Clancy Pnntmg Company <br /> <br /> 2 350 W 5th Eugene OR $ 98 00 L - reducbon m cost of prmtm9 <br /> 97401 notecards, letterhead, envelopes <br /> <br /> 4/2/2004 $ 98 00 B <br /> IK <br /> <br /> Carl Below PO Box 40693 <br /> 3 Eugene OR 97404 $ 625 00 O - Lawn Signs production <br /> <br /> 4/30/2004 Retired $ 625 00 <br /> <br /> CB Simons <br /> 4 215 W 5th Eugene OR $ 500 00 G - office space <br /> 97401 <br /> <br /> 4/2/2004- Realtor $ 926 76 ~ I IK <br /> 5/212004 <br /> <br /> 5 $ <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete ertl> for last page and <br /> Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC <br /> <br /> on Back and Cash (CA) $ 9,693 50 , Cash (CA) $ ~ <br /> ii1 Campaign Emer on *,tmm~ar~ %tatement Colunm/k. Line <br /> Finance <br /> Manua~ m-Kind flK) $ t ,223 00 In-Kind (tK} $ .__ <br /> kntel on St.lltna[) Statcwent. Coitull.q A. Lilies 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ _ Loans Received (LR) $ - <br /> Enter on Stlmlllar? Statement. (oll.tlllll ,~, Lille <br /> <br /> <br />