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Cash Contributions, Loans Received and In-Kind <br />Candidate or Political Committee Name: Committee ID Number: <br />Kitty Piercy for Mayor n/a Page 4_ of <br /> <br />Election: ~] Primary 200_!4 E~ General 20__ [] Other__ <br />Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [~ 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRLICTIONS AND CODE DEFINITIONS <br /> CODE t: 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 ln&vidual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of ImKind Purpose <br /> Dne # Name and Address of Contributor <br /> Contnbutton (see manual for suggested purpose codes) <br /> Occupational Information or Contributor <br /> Date Received Contributing Committee's ID# Aggregate Code 1 , Code 2 <br /> <br /> Patnc~a Hine 29755 Lusk Rd <br /> 1 Eugene OR 97405 $ 100.00 <br /> <br /> 5/4/2004 College Instructor $ 200.00 I <br /> CA <br /> <br /> DIx~e Maurer 339 W. 22nd Ave <br /> 2 Eugene OR 97405 $ 200.00 <br /> <br /> 5/5/2004 Educational Consultant $ 200.00 t <br /> CA <br /> <br /> Bob Emmons 40093 Dttle <br /> 3 Fall Creek Rd. Fall Creek OR $ 150.00 <br /> 97438 <br /> <br /> 5/4/2004 Retired $ 150 00 I CA <br /> <br /> Nena Lovinger 40093 Little <br /> 4 Fall Creek Rd, Fall Creek OR $ 150 00 <br /> 97438 <br /> <br /> 5/412004 Property Manager $ 150,00 ~ <br /> CA <br /> <br /> Larry Robidoux 2577 N~xon <br /> 5~ St Eugene OR 97403 $ 150,00 <br /> <br /> 5/8/2004 Owner Larry RoNdoux Design Corp $ 150.00 I <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 <br /> <br /> on Back and Cash (CA) $ 750.00 Cash (CA) $ ~ <br /> in Campaign Enter on Summa% Statement Colmm~ <br /> Finance <br /> Maimal In-Kind (IK) $ ~ In-Kind (IK) $ __ <br /> Enter on SmmnaD Statemenh Colunmt <br /> <br /> PC 2 Loans Received (LR) $ Loans Received (LR) $ ~ <br /> Enter on SummaD' Statement Colurm~ A Line 2 <br /> <br /> <br />