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Supplement to Second Pre/Post-Election - Contributions <br /> <br />Candidate or Pohhcal Conm~mee Name Comn~ttee ID Number <br />Andrea Orbz for City Council N/A Page 1 of 1 <br /> <br />Electron [] Prm~ary 20 04 [] Oeneral 20 [] Other <br />Report [] 1st Suppl to the 2nd Pre-elect~on [] 2nd Suppl to the 2nd Pre-electron [] SuppI to Post-election <br /> <br />SEE BACK FOR INSTRUCTIONS Arq) CODE DEFINITIONS <br /> <br /> CODE '1: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Pohhcal Cormmttee (includes business and umon PACs) CO Cosigner Obhgahon <br /> F Candidate's lmmedmte Family Oncludes can&date) IK In-K~nd <br /> I In&v~dual LR Loan Received <br /> L Labor Orgamzatmn PC Pledge of Cash <br /> O Other PI Pledge of [n-Kind <br /> P Pohhcal Party Committee PL Pledge of Loan <br /> <br /> Amount of <br /> Line # Name and Address of Contributor Contribution In-t<ind Purpose <br /> Occupational Information or Code ~ I Code 2 (see manual ~or suggested purpose codes) <br /> Date Received Contributing Committee's tD# <br /> <br /> Oregon AFSCME, Local #1724 - Political <br /> I (American Federabon of State, County & $ 500 00 <br /> Municipal Employees) <br /> <br /> 5/412004 <br /> Local PAC #1724 C CA <br /> <br /> 2. $ <br /> <br /> 3 $ <br /> <br /> 4 $ <br /> <br /> 5 $ <br /> <br /> See FOR OFFICE USE ONLY <br /> Instructions I, Tamara M,iler , (name of cand,date or RECEIVED <br /> on Back and .trza~t~mz.~ereby certify that the above statement is true and correct <br /> m Campmgn <br /> F~nance <br /> Mantel <br /> <br /> , CiTY RECORDER <br /> PC 8A ~gnature of can&date or~easurer , Dar4 signed <br /> <br /> <br />