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SCIIFJ)IJI.F. A h:(,ll ) <br />Schedule A (Continuation Sheet) lmounlsTyPe or Pdnl In Ink.mey bo rounded I Slalemenl covsrl period <br />Monetary Contributions Received to who,. do...., f.om <br /> <br /> through Page __ of __ <br />NAME OF OFFICEHOLDER Off CANOIDATE AND CONTROLLED COMMITTEE: I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR <br /> DATE (IF COMMITTEE. IN AI~TION 10 COdvlMIFTEE'S NAME AND ADORESS. OCCUPATION AND EMPLOYER AMOUNT RECEIVED CUI~ATIVE TO DATE CUMULATIVE TO DATE <br /> RECEIVED ENTER I O N4J~BEA OR. IF NO ID NUMBER HAS BEEN ASSIGNED, (IF SELF-EMFt. OYED ENTER THIS PERIOD CALENOAR YEAR OTHER <br /> ENTER TREASURER~ NAME & ADDRESS) NAM~ OF BU~NESS) (JAN I - DEC 31) (IF APPLICABLE) <br /> <br /> SUBTOTAL <br /> <br /> <br />