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SCtlEDIJ! .E E
<br />Schedule E Type or Print In Ink. ~ corem period
<br /> Amounts may be rounded
<br />Payments and Contributions to whole dollar~, iii [~3
<br />(Other Than Loans) Made from
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<br />SEE INSTRUCTIONS ON REVERSE through bi 7'~ i~'~,.~ Peg® of__
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<br />NAME OF ~FICEHOLDER OR C~DIDATE AND CONTROLLED COMMI~EE: I D. NUMBER
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<br /> NAME AND A~RE~ OF PAYEE, CREDIT~, OR RECIPIENT OF CONTRIBUTION I~ORT~T: ~ NOT ITEMIZE ~E PAYMENT ~ ACCRUED EXPENSES ON ~HE~E E.
<br /> (IF CO~ll I~E. IN A~IION IO COMMi13EE'S NAME ~O A~IE~. ENIER I I) NUMAR OR, ~PORT ~LY THE LUMP ~M OF ~H PAYMENTS ON LINE 4 OF THE ~MMARY ~CTION BELOW
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<br /> IF NO I O NUMII[R I1~ BEEN ~SIGNEO, [NI[R [I~E~UR[I{'S NAME & AD(~E~) C~E OR ~RIPTION OF PAYMENT AM~NT PAID
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<br /> SUBTOTAL $
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<br /> Payments and Contributions Made Summary ~ ..~.....~!
<br /> i. Paymcnls made this period of $100 or more. (Include all Schedule E sublolals.) ....~.. .~ ...............................................................$
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<br /> 2. Payments made this period of under $100. (Do not itemize.) ............................................................................................................................................ $
<br /> 3. Total inlerest paid this period on outslanding loans. (Enter amount from Schedule B, Part !!, Colmnn(d).) .................................................................... $
<br /> 4. Tolal accrncd expenses paid Ihis period. (Do not ilcmize. Enlcr amount from Schedule F, Line 4.) ................................................................................ $
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