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PC 2 <br /> Cash Contributions, Loans Received and In-Kind ,:,o3 <br /> <br />Candidate or Pohtlcal Cormmttee Name Cormrnttec ID Number <br />Andrea Ortizfor City Councd N/A Page 1 of 1 <br /> <br />Election [] Prlmap¢ 20~ [] General 20 04 [] Other <br />Report [] 1st Pie-election [] 2nd Pre-election [] Post-elecuon [] 20__ September Supplemental <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE 1: Contributor Type CODE 2: Contribution Type <br /> B Busmess Entity CA Cash <br /> C Political Committee (includes business and union PACs) CO Cosigner Obhgahon <br /> F Candidate's Irrmtedmte Family (includes candidate) IK In-Kind <br /> I individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Part5' Committee <br /> <br /> Line # Name and Address of Contributor Amount of In-Kind Purpose <br /> Contributlon (see manual for suggested purpose codes) <br /> <br /> Date Received Occupational Information or Contributor <br /> Code ~ Code 2 <br /> Contributing Committee's ID# Aggregate <br /> <br /> Eugene Firefighters Fire PAC #60 <br /> 1 2300 Oakmont Way, Suite #201 $ 500 00 <br /> Eugene, OR 97401 <br /> <br /> 611112004 <br /> PAC #60 $ 500.00 C CA <br /> <br /> Miscellaneous Cash Contributions $50 and Under <br /> 2 $ 2O 00 <br /> <br />6~8~04 - 9/16104 <br /> $ 2O 00 I CA <br /> <br /> 3 $ <br /> <br /> $ <br /> <br /> 5. $ <br /> <br /> $ <br /> <br /> See Page Totals (Add all amounts 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 SurmzaaU~ Statement, PC 1 ) <br /> on Back and <br /> in Campaign Cash (CA) $ 520 00 Cash (CA) $ 520 00 <br /> Finance Enter on Summary Statement, Column A, Line ! <br /> Manual In-Kind (IK) $ 0,00 In-Kind (IK) $ 0 00 <br /> l:nter on Summary StatemenL Column A, Linc~ 4 and 9 <br /> <br /> PC 2 Loans Received (LR) $ 0 00 Loans Received (LR) $ 0,00 <br /> Enter on Stm~mary Statement, Colmnn A Line 2 <br /> <br /> <br />