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PC 2 <br /> Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Pohtical Comrmttee Name. CozTnrnttee ~D Nttmber' <br />Andrea Ortiz for City Council NtA Page __!,___ of 6 <br /> <br />Electron. [] Prnmary 20 04 [] general 20 [] O~:her <br />Report' [] 1st Pre~electxon [] 2nd Pre-elect2on [] Post-electron [] 20, September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Business Ent~tv CA Cash <br /> C Polmcal Cormmttee (includes business and umon PACs) CO Cosigner Obhgat~on <br /> F Candidate's Immediate Famdy (~ncludes can&date) IK In-Kind <br /> I Ind~wdual LR Loan Received <br /> L Labor Orgamzafion <br /> O Other <br /> P Poht~cal Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Une Ct Name and Address of Contnbutor Contnbution (see manual for suggested purpose codes) <br /> Occupational Information or Contributor Code 1 I Code <br /> Date Received Contributing Commi~ee's IDCt Aggregate <br /> 2 <br /> <br /> Gary P. Young, M.D. <br /> 1. 741 E. 20th Avenue $ 100 00 <br /> Eugene, OR 97405 <br /> <br /> Physlcmn $ 100.00 I <br /> 4/2/2004 <br /> CA <br /> <br /> G. Geoffrey Gordon <br /> 2 2609 Fairmount Blvd $ 100.00 <br /> Eugene, OR 97403 <br /> <br /> Physician $ 100,00 I I CA <br /> 4/2/2OO4 <br /> <br /> Lee Boutell <br /> 3. 926 Calwn Street $ 100.00 <br /> Eugene, OR 97401 <br /> <br /> 4/5/2004 <br /> Maintenance Technician $ 100.00 I CA <br /> <br /> Anita Johnson <br /> 4. 2288 Birch Lane $ 100.00 <br /> Eugene, OR 97403 <br /> <br /> Journalist $ 100 00 I I CA <br /> 4/5/2004 <br /> <br /> Michael A, Barkrnan <br /> 5 85542 Winding Way $ 100.00 <br /> Pleasant Hill, OR 97455 <br /> <br /> 4/6/2004 Physician $ 100.00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Per~od Totals (Complete gray for last page and <br /> Instructions contribution type. Do not xnclude aggregates ) transfer these amounts to the Summary StatemenL PC 1 ) <br /> on Back and 500,00 <br /> m Campmgn Cash (CA) $ Cash (CA) $ <br /> <br /> Finance Enter on Summary Statement Column A. L~ne <br /> Manual In-Kind (IK) $ 0 00 In-Kxnd (IK) $ <br /> Enter on Summary. Statement. Column .z% Lines 4 and 9 <br /> <br /> PC 2 Loans Recmved (LR) $ 0 00 Loans Received (LR) $ <br /> Enter on Summary Statement. Coltm~n A. Line 2 <br /> <br /> <br />