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Schedule A Type or print in ink. SCHEDULE A <br />Amounts may be rounded Statement covers period i: <br />Monetary Contributions Received towho,edo,,a,s. <br />,ro. <br />SEE INSTRUCTIONS ON REVERSE through <br />NAME OF OFFICEHOLDER OR C. ANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> L NAME AND ADDRESS OF CONTRIBUTOR'''J OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> ~ DATE (~F COMM'~EE, ~N ADDISON TO COMMrn'EE'S NAME AND ADD,SS, EN'rER ~.D. NUMBER 0F SELF-EMPLOYED, EmER RECEIVED THIS C, ALE RIDAR YEAR OTH ER <br /> RECEIVED o~. ir NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) NAME OF BUS~NESS) PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE) <br /> <br /> SUBTOTAL $ ~q00,00 <br />Monetary Contributions Summary <br />1. Amount received this period -- contributions of $100 or more. <br />(Include all Schedule A subtotals.) .................................................................................................... $ <br />2. Amount received this period -- contributions of less than $100. <br />(Do not itemize.) ....................................................................................................................... $ <br />3. Total moneta~ contributions received this period. <br />(Add Lines l and 2. Enter here and on the Summary Page, ColumnA, Linel.) ........... . ............................... TOTAL $ ~, <br /> <br /> <br />