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Schedule A Type oc print in Ink. SCHEDULE A <br /> Amounts may be rounded Stetement covers period <br />Monetary Contributions Received towhole dolLIrs. <br /> from <br /> <br />SEE INSTRUCTIONS ON REVERSE through/ <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE <br /> <br /> FULL NAME AND ADORESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> DATE (if COf4MITTEE, m AOOlYIOfl TO COMMITTEE'S NAME AND ADDRESS, ENTER LO. NUMBER (if S~LF-EMPt. OYED. ENTER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVED o~ i~ No I.D. NU~REIK HAS B~EN A$SIGI~O, ENTER TREASURER'S NAIdE ANO ADDRESS) NAME Of BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF APPLICABLE) <br /> <br /> I <br /> <br /> SUBTOTAL $ <br /> <br />Monetary Contributions Summary <br />1.Amount received this period -- contributions of $100 or more. <br /> (Include all Schedule A subtotals.) .................................................................................................... <br /> <br /> 2.Amount received this period -- contributions of less than $100. <br /> (Do not itemize.) <br /> <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 />