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PC2 <br /> Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />K~tty Piercy for Mayor n/a Page 3 of <br /> <br />Election: [~ Primary 200_~4 [] General 20_ U_~ Other ~ <br />Report' [] 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 In-Kind <br /> I Individual LR Loan ReceiYed <br /> L Labor Organization <br /> 0 Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> bne # Name and Address of Contributor <br /> Contrtbution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor Code i' Code 2 <br /> Contributing Committee's/DC Aggregate <br /> <br /> Tamara Stenshoel 1038 E. <br /> 1 21st Ave. Eugene OR $ 250 00 <br /> 97405 <br /> <br /> 5/4/2004 Physician $ 275 00 I CA <br /> <br /> C~t~zen Action by Political Employes <br /> 2 PO [Box 12159 Salem OR $ 250.00 <br /> 97309 <br /> <br /> 51412004 Pohtical ID #000033 $ 250 00 C CA <br /> <br /> T~na Stupasky 30900 <br /> 3 Blanton Rd. Eugene OR $ 150 00 <br /> 97405 <br /> <br /> 5/4/2004 Attorney $ 250.00 ~ CA <br /> <br /> Marian R~chards 3581 Agate <br /> 4 St Eugene OR 97405 $ 150 00 <br /> <br /> 5~4~2004 Retired $ 225 00 I CA <br /> <br /> ,Joe Alsup 36 W, 38th Ave. <br /> 5 Eugene OR 97405 $ 100 00 <br /> <br /> 5/7/2004 School Pnnclpal $ 200.00 <br /> 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) $ 900 00 Cash (CA) $ <br /> iB Campaign Ente~ on Summao Smrernent~ Colm'm~ <br /> Finance <br /> Manual In-Kind (IK) $ <br /> Entre- on Sttmmar~ Star.mem. Colthmn <br /> <br /> PC 2 Loans ReceiYed (LR) $ <br /> Enter on Sttnlm:t~' Stateroom Cotumn A. Linc 2 <br /> <br /> <br />