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Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee tD Number: <br />Kitty Piercy for Mayor n/a Page ~ of Z~ % <br /> <br />Election: ~ Primaw 200~ ~ General 20~ ~ Other ~ <br />Repo~' ~ 1st Pre-election ~ 2nd Pre-election ~ Post-election ~ 20~ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> COD~ ~: Contributor Type CODE 2: Contribution Type <br /> B Business EntiD CA Cash <br /> C Political Commi~ec (includes business and union PACs) CO Cosigner Obligation <br /> F Candidme's lmmediate Family (includes candidate) iK in-Kind <br /> I Individual L~ Loan Received <br /> L Labor Organization <br /> 0 Other <br /> P Political Party Commi~¢e <br /> <br /> Amount of Imgmd Purpose <br /> Dne ~ Name and Address of Contributor <br /> Contribution (see manuel for suggested purpose codes) <br /> Occupational Information or Contributor ~ <br /> Date Received Contributing Comm~ee~ I~ Aggregate Code 1 ~ Code 2 <br /> <br /> AFSCME Local 1724 688 <br /> I Charnelton Eugene OR $ 1,000.00 <br /> 97401 <br /> <br /> 5/4/2004 n/a (not a PAC) $ 1,000 00 " L CA <br /> <br /> GdAvew 1175 Fir Lane <br /> 2 Eugene OR 97405 $ 500.00 <br /> <br /> 5/3/2004 Rebred $ 700 00 I CA <br /> <br /> Mark W~lliams P O. Box <br /> 3 695 Eugene OR 97440 $ 100 00 <br /> <br /> 5/4/2004 LCC Faculty $ 650 00 I I CA <br /> <br /> John Allcott 2650 Cresta De <br /> 4 Ruta Eugene OR 97403 $ 375.00 <br /> <br /> 5/4/2004 Physician $ 625 00 I CA <br /> <br /> Rebecca Gladstone <br /> 5 2713 Falrmount BIvd. EugeneOR $ 375 00 <br /> 97403 <br /> <br /> 5/4/2004 Not Employed $ 500.00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only fbr 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) $ 2,350.00 Cash (CA) $ __ <br /> in Campaign Enter on Summao Statement, Column A, Lmm: 1 <br /> Finance <br /> Manual in-Kind {,lK) $ . In-Kind (IK) $ __ <br /> Enter on Smmnar3 Statement Cohimn A. LilieS 4 and c; <br /> <br /> PC 2 Loans Received (LR) $ ~ Loans Received (LR) $ __ <br /> Enter on Stm~mm3 Statement. Column A. L mc 2 <br /> <br /> <br />