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Schedule B -- Part I (Continuation Sheet) Type oF print in ink. SCHEDULE B- Part I (cont.) <br /> Amounts may be rounded Statement covers period <br />Loans Received * to whole dollars. <br /> from '~ /' <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> DATE LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER/GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION <br /> RECEIVE D (IF COMMITTEE, ENTER FI~LL NAME, ADDRESS AND I.D. NUMBER. IF NO I.D. OCCUPATION AND EMPLOYER (IF SELF- <br /> NUMBER HAS BEEN ASSIGNED, ENTER THE TREASURER'S NAME AND ADDRESS) EMPLOYED, ENTER BUSINESS NAME ) DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE <br /> INTEREST RATE Of LOAN TO DATE GUARANTEED TO DATE <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> INTEREST RATE <br /> OTHER OTHER <br /> [] Lender [] Guarantor* '~ $ $ <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> $ <br /> INTEREST RATE <br /> OTHER OTHER <br /> [] Lender [] Guarantor* ~ <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> INTEREST RATE <br /> OTHER OT~R~ <br /> [] Lender [] Guarantor* '~ S S <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> $ s <br /> INTEREST RATE <br /> OTHER OTHER <br /> [] Lender [] Guarantor* ~ S S <br /> DUE DATE CALENDAR YEAR CALENDAR YEAR <br /> $ $ <br /> INTEREST RATE <br /> OTHER OTHER <br /> [] Lender [] Guarantor* ~ S $ <br /> <br /> ~) Enter (b) on <br /> *See important instructions on reverse of page ! of Schedule B, Part I. SUBTOTAL $ $ sumM,~ <br /> Line 18 only. <br /> <br /> <br />