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PC2 <br /> Cash Contributions, Loans Received and In-Kind Rev <br />Candidate or Political Committee Name Comrmttee ID Number. <br />Andrea Ortiz for City Council N/A Page 3 of 6 <br /> <br />Election. [] Prn~nary 20 04 [] General 20 [] Other <br />Report' [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20 September SupplememaI <br /> <br />SEE BACK FOR INSTRUCTIONS AN[_) CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Busmess Entl~' CA Cash <br /> C Pohtlcal Committee (includes busmess and union PACs) CO Cosigner Obligation <br /> F Candidate's Immediate Family (includes candidate) iK In-Kind <br /> I Individual LR Loan Recmved <br /> L Labor Organization <br /> O Other <br /> P Political Percy Committee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contributor Contnbution (see manual for suggested purpose codes) <br /> Occupafional Infon~ation or Contributor Code I I Code 2 <br /> Date Received Contributtng Commrttee's ID# Aggregate <br /> <br /> John Jordan Cascade L <br /> 1. 1575 Larkspur Loop $ 29,56 <br /> Eugene, OR 97401 <br /> <br /> Web Content Coordinator $ 99.56 I [ IK <br /> 4/1 <br /> 0~20O4 <br /> <br /> Andrew Peara <br /> 2 410 E. 34th Avenue $ 75,00 <br /> Eugene, OR 97405 <br /> <br /> D~rector of non-profit/Educator $ 75.00 I t CA <br /> 411 <br /> 0~2OO4 <br /> <br /> Alison Cantrd <br /> 3~ 410 E. 34th Avenue $ 75.00 <br /> Eugene, OR 97405 <br /> <br /> Volunteer Educator $ 75.00 t I CA <br /> 411 <br /> 0/2004 <br /> <br /> James Baker <br /> 4. 51013 McKenzie H~ghway $ 75.00 <br /> Finn Rock, OR 97488 <br /> <br /> 4tl 112004 Retired $ 75 00 I CA <br /> <br /> Paul Nicholson <br /> 5 1855 E, 28th Avenue $ 100.00 <br /> Eugene, OR 97403 <br /> <br /> 4112~2004 Bicycle Retailer $ 100.00 I CA <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and <br /> Instructions contnbuhon type Do not include aggregates transfer these amounts to the Summary Statement, PC I ) <br /> on Back and 325.00 <br /> in Campaign Cash (CA) $ Cash (CA) $ <br /> Enter on Summary Statement. Cohmm A. Line 1 <br /> Finance <br /> Manual In-Kind (IL) $ 29.56 In-Kind (IL) $ <br /> Enter on Summary Statement. Column A, Lines 4 and <br /> <br /> PC 2 Loans Received (LR) $ 0.00 Loans Recmved (LR) $ <br /> Enter on Star, mary Statement. Column .~, Line 2 <br /> <br /> <br />