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Schedule A (Contin u ation Sheet) Type or print in ink. SCHEDULI: A (cont.) <br />Amounts may be rounded Statement covers period <br />Monetary Contributions Received tow.o,e <br />NAME OF OFFICEHOLDER OR ~NDI~ATE AND CONTROLLED COmmITTEE I.D. NUMBER <br /> <br /> FULL NAME AND ADDRE55 OF CONTRIBUTOR ~C~PATION AND E~PLOYER AMOUNT CU~U~TIVE TO DAT~ CUMU~TIVE TO D~TE <br />~ DATE 0~ c~M~, ~N ~DD~ ~O C~'S ~E ~ND ADD~S~. ~NT~ LD. NU~E~ 0F SELF-emPlOYeD. ~N~ R~C~IVED THIS ~LENDA~ YEAR OTHE~ <br />~ECEIVE D ~ ~ ~ rD. ~u~ ~s ~N ~S~m. ~m~ ~E~S~'S ~ME A~D AD~ES~ NAM~ ~ ~US~N~SS) PERIOD (JAN. 1 - DE C. 3 ~ } JIF APPLICABLE) <br />~./'/.~{~ ~ ~~;~.~ ~ b'-'~:~> i oo ~o o <br /> .'~ <br /> ~o,, ~ ~27 C,-~ P.r~,_,~A~ :"~" <br /> <br /> su~o~ s ~00 <br /> <br /> <br />