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Schedule A Type or print in ink. SCHEDULE <br /> Monetary Contributions Received ~m°t~)~Shoml;Yd~;l~sU.noe(3 State,,~ei~; covers period <br /> <br /> IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> DATE PULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVED (IF COMM TEE ALSO ENTER i D NUMBER) CODE * (IF SELF EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE) <br /> OE BUSINESSI <br /> [] OTH <br /> [] OTH <br /> [] IND · <br /> [] COM <br /> [] OTH <br /> [] IND <br /> [] COM <br /> [] OTH <br /> [] IND <br /> [] COM <br /> [] OTH <br /> SUBTOTAL $ <br /> <br />Schedule A Summary <br />~. Amount received this period - contributions of $~00 or more. <br />(Include all Schedule A subtotals.) ....................................................................................................... $ Q.~ <br />2. Amount received this period - unitemized contributions of less than $100 ......................................... $ ~ . O O[ IND-I~ividual <br />COM- Reci~ent C~mi~e <br />3. Total moneta~ cont~butions received this period. OTH-Olher <br />(Add Lines 1 and 2. Enter here and on the Summa~ Page, Column A, Line 1.) TOTAL $ ~ <br />FPPC Fo~ ~0 (~9) <br />For Technical Assistance: 91~322.5660 <br /> <br /> <br />