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Type or print In ink. SCHEDULE B - PART III <br />~cneaule D - tart m Amounts mey be rounded Statement covers period <br />Annual Report of Outstanding Loans Received to who~e do,sra. ~-/~ ~' <br />SEE INSTRUCTIONS ON REVERSE through ~ --//'~¢~ --~/ Page <br /> __ of__ <br /> <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE LD. NUMBER <br /> <br /> FULL NAME OF LENDER ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST <br /> <br /> Attach additional information on appropriately labeled continuation sheets. TOTAL $ ' i } <br /> NOTE: This total should be <br /> the same amounl as entered <br /> on the Summary Page, <br /> Column C, Line 2. <br /> <br /> <br />