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PC 4A <br /> <br /> Receipts <br /> Other <br /> <br />Candidate or Poht~cal Con~rfittee Name. Cormmttee iD Number <br />Andrea Ortiz for C~ty Council N/A Page .___1. __ of,._ !__ <br /> <br />Election: [] Primary 20 04 [] Oenera120~ [] Other. <br />Report [] 1st Pre-elect~on [] 2nd Pre-elect~on [] Post-elecbon [] 20__ September Supplemental <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br />Other Receipt Transaction Type Codes <br /> <br /> EL Exempt Loan Proceeds <br /> <br /> FM items Sold at Fmr Market Value <br /> <br /> InteresEInvesnnent Income <br /> <br /> OM Mzscellaneous (prowde a descnptmn) <br /> <br /> RF Refunds~ Rebates and Retuxns <br /> <br /> Date Name Other Receipt <br />Line # Received (required for codes EL, OM and RF ; Transaction Type Other Rece¢pf Amount <br /> optional for codes FM and IN) Code <br /> <br /> 3131/2004 Pacific Cascade Federal Credit Union IN <br /> 1 $ 0,01 <br /> <br /> 2 $ <br /> <br /> 3 $ <br /> <br /> 4 $ <br /> <br /> 5 $ <br /> <br /> 6 $ <br /> <br /> 7 $ <br /> <br /> 8 $ <br /> <br /> 9 $ <br /> <br /> 10 $ <br /> <br /> See Page Totals (Add all Other Recmpt Transaction Account~g Period Totals (Complete only for last page and <br /> Instructmns Type Codes specified ) transfer these amounts to the Summary Statement, PC 1 ) <br /> on Back and 0.01 <br /> zn Campmgn Codes FM, IN. OM, RF $ 0,01 Codes FM~ IN, OM. RF $ <br /> <br /> Finance Enter on Summary Statement, Column A, Line 13 <br /> Manual Code EL $ 0.00 Code EL $ 0,00 <br /> Enter on Summary Statement, Colmnn A, Line 14 <br /> <br /> PC 4A <br /> <br /> <br />