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SCIIEDUI.E G <br />· ~ Schedule G Typo or Print i. Ink. Slat®ment covers period <br /> Amounts may be rounded <br /> Payments Made by an Agent or Independent to wholodollars. <br /> Contractor (on Behalf of an Officeholder or fro~ <br /> ~;ana,oate! through Page__ of__ <br /> SEE INSTRUCTIONS ON REVERSE <br /> NAME Of: C~::FICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE: ID. NUMBER <br /> <br /> NAME OF AGENT OR INOEPENDENT CONTRACTOR: <br /> <br /> I~[&IvIE ~J%ID A~ OF PAYEE OR CRE~TC~! <br /> (IF COkealrTEE. IN ADOIIK~N IO COM~TIEE'S NAME ~ AEN3RESS. ENTER I O ~aJIvlBER OR. <br /> IF NO I D NUMBER HAS BEEN ASSIGNED, ENIER TREASURER'S NAME & A[X)RESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID <br /> <br /> Attach additional information on appropriately labeled continuation sheets. TOTAL* $ <br /> <br /> * 1)o not tran.~fer to any other s'chedule or to tit,. Su,onary Page. This total ,my tuft equal the a,u~unt [paid to the age~a or #u~ependent contractor as reported on Schedule E by the candidate. <br /> <br /> <br />