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i <br /> <br /> SCHEDULE A <br /> Type or print in ink. <br />Schedule A AmOunts may be ,oimded Statement covers perk)d <br />Monetary Contributions Received <br /> <br />SEE'"ST"U 'O"SO""EVE"SE ,.D."UM'E" <br /> NAME :R OR CANDIDATE A~D CONTROLLED COMMITTEE <br /> <br /> AND ADDI~SS OF CONTRIBUTOR OCCUPATK)N AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> (if SELF4MPLOYED, EIIIIll RECEIVED THIS CALENDAR YEAR OTHER <br /> , DATE (1~ COMMiTIE[, iN ADiX~iON 10 COMMITIErs NAME AND ADOMS$, ENTEIt I-O- NUMB~II NAME O/MISlMS# PERIOD (JAN. 1- DEC. ]1) (IF APPLICABLE) <br /> RECEIVED Os. I NO u). NUMM~ HAS KIN ASS~MeID, ImlITIASU~ NAMe Am) <br /> <br /> SUBTOTAL S <br /> <br /> Monetary Coptributions Summary <br /> <br /> t.Amount received this period -- contributions of S100 or more. <br /> (Include all Schedule A subtotals.) .................................................................................................... <br /> <br /> 2.Amount received this period -- contributions of less than $100. <br /> (Do not itemize.) .................................................................................................................... <br /> 3. Total monetary contributions received this period. <br /> {Add Lines I and 2. Enter here and on the Summary Page, Column A, Line I .) ......................................... TOTAL <br /> <br /> <br />