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Sch ed u l e A Typeorprint in ink.SCH E DU LEA <br /> Amounts may be rounded <br /> Monetary Contributions Receivedto whole dollars.I S~ement covers period <br />SEE INSTRUCTIONS ON REVERSE through i /Z--//?(~ Ip&ge '~ of '~- <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> FULL N.A, ME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DA, TE <br /> i DATE (if COMMrlTEE, IN ADDITION TO COMMITrEE'$ N&ME AND ADDRESS, EmER I.D. NUMBER (If SELF-EMPLOYED, EmIR RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVED o~. If NO I.D. NUMBER HAS BEEN ASSIGNED, EmIR TREASURER'S NAME AND ADDAESS) NAME Of lusmess) PERIOD (JAN. 1 - DEC. 31) (IF APPLICABLE) <br /> SUBTOTAL <br /> <br />Monetary Contributions Summary <br />1. Amount received this period -- contributions of $100 or more. "~ ~-0. <br />(include all Schedule A subtotals.) .................................................................................................... $ <br />2. Amount received this period -- contributions of less than $100. ~..t, 3.' .~'~) <br />(Do not itemize.) ................... · .................................................................................................... $ <br />3. Total monetary contributions received this period. 5 <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................................... TOTAL $ , <br /> <br /> <br />