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PC 2 <br /> Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Political Committee Name Committee ID Number <br />Andrea Ortiz for City Council N/A Page 2 of 6 <br /> <br />Elect~on. [] Primary 20 04 [~1 General 20 E] Other <br />Report [] 1st Pre-elecuon [] 2nd Pre~electron [] Post-election [] 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 Entity CA Cash <br /> C Pohtzcal Committee (includes business and umon PACs) CO Cosigner Obhgatzon <br /> F Candzdare's Immediate Famdy (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organizatmn <br /> O Other <br /> P Pohttcal Party Committee <br /> Am~>unf of In-Kind Purpose <br /> Uno # Name and Address of Contributor Contributlon (see manual for suggested purpose codes) <br /> <br /> Occupational <br /> tnformatton <br /> Contr~butor <br /> Code 1 ] Code 2 <br /> or <br /> Dale Received Contributing Committee's ID# Aggregafe <br /> <br /> John V. AIIcott <br /> 1, 2650 Cresta De Ruta $ 100,00 <br /> Eugene, OR 97403 <br /> <br /> 4/7/2004 <br /> Physician $ 100.00 I CA <br /> <br /> Lmda Fuller <br /> 2 2401 W. 22nd Avenue $ 100.00 <br /> Eugene, OR 97405 <br /> <br /> Professor $ 100 00 I I CA <br /> 4/7/2OO4 <br /> <br /> Cary Thompson <br /> 3 966 Jackson Street $ 500.00 <br /> Eugene, OR 97402 <br /> <br /> 4/8/2004 <br /> Retired $ 500.00 I CA <br /> <br /> Teresa Damron <br /> 4~ 605 Howard Avenue $ 200,00 <br /> Eugene, OR 97404 <br /> <br /> Teacher/Farmer, etc, $ 200,00 I <br /> 4/9/2004 <br /> CA <br /> <br /> John Jordan-Cascade <br /> 5. 1575 Larkspur Loop $ 20,00 <br /> Eugene, OR 97401 <br /> <br /> 4/10/2004 Web Content Coordinator $ 70 00 I CA <br /> <br /> See Page Totals (Add all amomlts with the same Accounting Period Totals (Complete only for last page and <br /> Instmcuons contrlb-utmn type Do not include aggregates ) transfer these amounts to the Smxm2ary Statement, PC 1 <br /> on Back and 920.00 <br /> m Campaign Cash (CA) $ Cash (CA) $ <br /> <br /> Finance Enter on Summary Statemcnt~ Column A, Line 1 <br /> Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ <br /> Enter on Summary Statement. Column A, L~neb 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ 0.00 Loans Recmved (LR) $ <br /> Enter on Summary Statement. Column A, Line 2 <br /> <br /> <br />