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pc 2 <br /> <br /> Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate or Polit,cal Co~rs:nittee Name' Comrmttee ID Number <br />Andrea Ortiz for City Council N/A Page 1 of ~ <br /> <br />Elect, on [] Pr,mat3, 20 [] General 20 [] Other <br />Report [] 1 st Pre-elect,on [] 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 Entib' CA Cash <br /> C Polnical Corem,tree (includes bus,ness and union PACs) CO Cos,grief Obhgatmn <br /> F Candlchtte's irrm~ediate Famdy (includes cand,date) IK tn-Kind <br /> I Inchwdual LR Loan Recmved <br /> L Labor Orgamzat,on <br /> O Other <br /> P Poht,cal Party Comrmttee <br /> <br /> Amount of In-Kind Purpose <br /> b'ne # Name and Address of Contributor Contribution (see manual for suggested purpose codes) <br /> <br /> Occupational Information or Contributor Code ~ I Code 2 <br /> Date Received Contributing Committee's ID# Aggregate <br /> <br /> Friends of Arammta Hawkins <br /> I 5157 Astove Street $ 100.00 <br /> Eugene, OR 97402 <br /> <br /> Oregon PAC No. 004348 $ 100.00 P I <br /> 2/6/2004 <br /> CA <br /> <br /> Andrea Ortiz L <br /> 2 189 Foch Street $ 41.90 <br /> Eugene, OR 97402 <br /> <br /> 3/9/2004 Hospital Ward Clerk $ 41.90 F IK <br /> <br /> Franclsca E, Johnson <br /> 3 25474 Milo Road $ 100.00 <br /> Veneta, OR 97487 <br /> <br /> City Human Rights Commission Staff $ 100.00 I I CA <br /> O/2OO4 <br /> <br /> Andrea Orbz O <br /> 4 189 Foch Street $ 300.00 <br /> Eugene, OR 97402 <br /> <br /> 3/11/2004 Hospital Ward Clerk $ 341.90 F IK <br /> <br /> Andrea Ortiz L <br /> 5. 189 Foch Street $ 55.00 <br /> Eugene, OR 97402 <br /> <br /> Hospital Ward Clerk $ 396.90 F I IK <br /> 5/2O04 <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complete mtly for last page and <br /> Instructions contribution type Do not include aggregates ) transfer these amounts to the Summary Statement. PC 1 ) <br /> on Back and 200.00 <br /> m Campmgn Cash (CA) $ Cash (CA) $ <br /> Enter on Summary Statement, Column A. L~ne 1 <br /> Fznance <br /> Manual In~Kind (IK) $ 396.90 In-K,nd (IK) $ <br /> Enter on Summary Statement, Column A Lines 4 and 9 <br /> <br /> PC 2 Loans Rece,ved (LR) $ 0.00 Loans Recmved (LR) $ <br /> Enter on Summao Statement. Column A. Line 2 <br /> <br /> <br />