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SCHEDULE A <br />Schedule A Type or Print in Ink. Statemen! covers period <br /> Amounts may be rounded <br />Monetary Contributions Received ~o.he,. do..., f.o~ / - / -- ~'~-~ <br />~E,~,,~SONREVER~ ,h.o.oh/- ac~- 9>.I P.0. ~ o, 9~Z I <br />NAI~. OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMII-[EE: I.D. NUMBER <br /> <br /> FULl. N.,~IE ~ ADCIRE,$~ OF coNq'RIBUIrOR <br /> DATE (ff COMMI13EE, IN ADDITION TO COMMITTEE'S NAME AND ADDflESS, OCCUPATION AND EMPLOYER AMOUNT RECEIVED CLJMULATIVE TO DATE CUMULATIVE TO DATE <br /> RECEIVED ENTER I.D. NUkI~ER Off, IF NO I.D. NUIdB~It HAS BEEN ASSIGNED. {IF SELF-EMPLOYED ENTER THIS PERIOD CALENDAR YEAR OTHER <br /> ENTER TREASt~tER~ N~ME & ~DDRESS) NAME OF BUS~NESS) (JAN 1 - DEC 31 ) (IF APPLICABLE ) <br /> <br /> SUBTOTAL $ ' (~ <br />Monetary Contributions Summary <br />I. Amount reccivod Ibis period -- contributions of $100 or more. <br />(include all Schedule A subtotals.) ........................................................................................................... $ <br />2. Amount received this period --contributions of less than $100. <br />(Do not itemize.) ...................................................................................................................................... $ <br />3. Total monetary contribulions received this period. <br />(Add Lines l and 2. Enter here and on the Summary Page, ColumnA, Linel.) ....................... TOTAL $ .~.~,) ~ <br /> <br /> <br />