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· '~ SCHEDULE G <br /> Schedule G Typo or Print in Ink. <br /> Amounts may bo rounded Statement coven period <br /> Payments Made by an Agent or Independent to who~.do,,r,. <br /> Contractor (on Behalf of an Officeholder or from <br /> Candidate) through Page__ of__ <br /> SEE INSTRUCTIONS ON REVERSE <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMI~I'EE: ID. NUMBER <br /> <br /> NAME OF AGENT OR INDEPENDENT CONTRACTOR: <br /> <br /> NAME AND ADORESS OF PAYEE OR CREDITOR <br /> (IF COMMfrI'EE, IN ADOITION TO COMMII'1EE'$ NAME ANO .ADORES~, ENTER I D NUMINER on. <br /> IF NO ID NUMBER HAS BEEN ASSIGNED, ENIER 1REASURER'$ NAME & ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID <br /> <br /> Attach additional information on appropriately labeled continuation sheets. TOTAL* <br /> <br /> * l)o not tran.~fer to any other schedule or to tim Summary Page. This total .u~y not equal the a.u~unt paid to the ageta or independent contractor as reported on Schedule E by the candidate. <br /> <br /> <br />