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Schedule A Tvp, m print in Ink. SCHEDULE A <br /> Am°untSto whole dollars.maY be rounded Statement covers period <br />__~etar_~ontributions Received ,,o. re , 24 <br />SEE INSTRUCTIONS ON REVE~SE .~o~ ~c~. ~l~f~q <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> DATE (w COIdilffTIE, m AOOffKX4 TO CCXmmlel~ eaail Am) am)mSS, em~R i.D. NU~ 1~ S~LF4M~tOY~D. ENTER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVE D QIL · NO LO. mmNR HAS mN ASIIS, II). I#TER T~ASUlK~S e~dM Am) AI)O~$S) NAM~ m BU~NESS~ PERIOD (JAN. I - DEC. 31) (IF APPLICABLE) <br /> ? <br /> <br />Moneta~ ConffibuUons Summa~ <br />1. Amount r~eiv~ ~is ~ri~ -- c~tributions of $1~ or more. <br />(l~lude all ~h~ule A subto~ls.) .................................................................................................... $ <br />2. Amount r~eiv~ this ~ri~ -- contributions of less than $1~. ~ <br />(~ not itemize.) ....................................................................................................................... $ <br />3. Total moneta~ contributions receiv~ this ~ri~. <br />(Add Lines 1 a~ 2. Enter here and on the Summa~ Page, Column A, Line 1.) ......................................... TOTAL $/ <br /> <br /> <br />