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Schedule A Tv., o~ print in ink. SCHEDULE A <br /> Amounts mRy be rounded Statement covers period <br /> Monetary Contributions Received to whole dollarL <br /> through~· ~ ~- ' <br /> SEE INSTRUCTIONS ON REVERSE ~ ',, / PIg~ <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ID. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> DATE (w COMMITTEE, m ADDII'ION TO COMMITTEE'S NAME ANO ADONIS, ENTER I.D. NUMBER (W SELF.EMPLOYED, ENTER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVE D o~. w ~o I.D. m~aKR m~S KEN ASg~mO. E~TER TKASUKR'S ~U*E A~O ADDKSS) nME m ~$S) PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE) <br />,.~ <br /> <br /> ~ SUBTOTAL $ <br /> Monetary Contributions Summary <br /> 1. Amount received this period -- contributions of $100 or more. <br /> (Include all Schedule A subtotals.) .................................................................................................... <br /> 2. Amount received this period -- contributions of less than $100. <br /> i (Do not itemize.) ....................................................................................................................... <br /> '. 3. Total monetary contributions received this period. <br /> (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ......................................... TOTAL <br /> <br /> <br />