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Pc 5 <br /> Accounts Receivable <br /> <br />Candidate or Pohtical Cornrmttee Name Corrm~ttee ID Number <br />Andrea Ortiz for City Council N/A Page <br /> <br />Elect,on [] Prrrnary 20 04 [] General 20 [~1 Other <br />Report [] 1st Pre-elecnon [] 2nd Pre-elect,on [] Post-electron [] 20 September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Account Receivable Type <br /> B Bus~ness Ent,ty OR Other Account Rece, vable <br /> C Polit, cal Con2mttee (mcludes busmess and umon PACs) PC Pledge of Cash <br /> F Can&date's Immechate Family 0ncludes can&date) PI Pledge of [n-Kmd <br /> I In&v~dual PL Pledge of Loan <br /> L Labor Orgamzation <br /> O Other <br /> P Pohtmal Party Comm,ttee <br /> <br /> Amount of in-Kind Purpose <br /> Line # Name and Address of Contributor <br /> Account Receivable (see manual for suggested purpose codes) <br /> Occupational Information or Contributor Code I I Code 2 <br /> Date Contributing Committee's ID~ Aggregate <br /> <br /> Oregon AFSCME PAC <br /> 1 (American Federation of State, County & $ 500 00 <br /> Municipal Employees) Local #1724 <br /> <br /> 4~27/2004 <br /> Local PAC #1724 $ 500.00 C PC <br /> <br /> 2. $ <br /> <br /> 3 $ <br /> <br /> 4. $ <br /> <br /> 5 $ <br /> <br /> See Page Total (Add all amounts for the Accounts Accounting Period Total (Complete only for last page and <br /> Instructions Recmvable Type Codes spec,fled Do not transfer these amounts to the Sun-n:nary Statement, PC 1 .) <br /> on Back and mclude PI or aggregate ) <br /> m Campaign <br /> Fmance Codes OR, PC, PL $ 500.00 Codes OR, PC, PL $ 500.00 <br /> Manual Enter on Summary Statemenk Column A. L~ne 38 <br /> <br /> PC 5 <br /> <br /> <br />