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Pc 2 <br /> Cash Contributions, Loans Received and in-Kind *e,, <br />Candidate or Political Corramttee Name Comrmttee ID Number. <br />Andrea Ortiz for City Council N/A Page 4 of <br /> <br />Election [] Primary 20 04 [] General 20 [] Other <br />Report [] 1st Pre-election [] 2nd Pre-elect~on [] 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 Bus~ness Enbty CA Cash <br /> C Political Cormmttee (includes business and union PACs) CO Cosigner Obhgatmn <br /> F CandMate's Irnmediate Fannly (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Orgamzanon <br /> O Other <br /> P Pohtlcal Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contributor Contribution (see manual for suggested purpose cedes) <br /> Occupational Information or Contr~butor Code 1 I Code 2 <br /> Date Received Contributing Committee's ID# Aggregate <br /> <br /> Tamara Mdler G <br /> 1 293 E. Anchor Avenue $ 17,58 <br /> Eugene, OR 97404 <br /> <br /> Attorney/Property Administrator $ 67.58 <br /> 4/1 <br /> 2/20O4 <br /> IK <br /> <br /> Steven Neubauer <br /> 2 3047 Grand Cayman Drive $ 100,00 <br /> Eugene, OR 97408 <br /> <br /> 4/14/2004 Physician $ 100.00 I CA <br /> <br /> Tamara Miller G <br /> 3. 293 E Anchor Avenue $ 9,99 <br /> Eugene, OR 97404 <br /> <br /> Attorney/Property Administrator $ 77.57 I I IK <br /> 4/1 <br /> 7/20O4 <br /> <br /> Phhhp Johnson <br /> 4 2866 Lydick Way $ 100.00 <br /> Eugene, OR 97401 <br /> <br /> 4/17/2004 Physician $ 100.00 I CA <br /> <br /> Steve Tarver <br /> 5, 1455 Wilson Court $ 100.00 <br /> Eugene, OR 97402 <br /> <br /> Forestry Technician $ 100.00 I <br /> 4/1 <br /> 7/2O04 <br /> CA <br /> <br /> See Page Totals (Add all amom~ts w~th 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 Staternent PC 1 ) <br /> on Back and 300.00 <br /> m Campmgn Cash (CA) $ Cash (CA) $ <br /> Enter on SummaD Statement. ColumnA, Line <br /> Fmance <br /> Manual In-Kind (IK) $ 27.57 In-Kind (IK) $ <br /> Enter on Summary StatemenL Column A, I_me~ 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ 0.00 Loans Received (LR) $ <br /> Enter on Summar) Statement, Column A. Line 2 <br /> <br /> <br />