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SCHEDULEA PAGE ~ OF / ~7 <br /> MONETARY CONTRIBUTIONS RECEIVED <br />FORM 490 STATEMENT COVERS PERIOD <br />(Amounts May Be Rounded To Whole Dollars) FROM <br />N~OF CANOIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: I.D. NUMBER <br /> <br /> FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION <br /> DATE AMOUNT <br /> REC'D. (~F COMMII-rEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER <br /> NAME OF 8US~NE$S) TH~S I~R~OO ~ TO DATE <br /> Occupation: <br /> Employer: F$1SCAL YEAR: <br /> Occupation: <br /> Employer: <br /> F$tSCAL YEAR: <br /> Occupation:. <br /> Employer: <br /> F$1S~L YEAR: <br /> Occupation: <br /> Occultation: <br /> Employer: <br /> Employer: <br /> ISL YEAR: <br /> OCCul~tion: ~_~N~AR YEAR: <br /> SUMMARY <br /> <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 (Not <br /> itemized) ....................................................................... <br /> <br /> 3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIO0 <br /> (Line 1 + Line2) Enter here and on Line 1, Column B of Summary Page ............... <br /> <br /> <br />