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Schedule A Type o~ I~int in ink. SCHEDULE A <br />Amounts rely be roundiKI J Stltement covers period <br />Monetary Contributions Receivedto whole dolbrs. <br />from <br />SEE INSTRUCTIONS ON REVERSE <br />N~E OF OFFICEHOLDER OR C.~NDIDAT~ AND CONTIqiOLLEJD COMMITTEE <br /> ' FULL NAME AND ADDI~SS OF CONTRIIUToR OCCUPATION AND EMPLOYER AMOUNT l CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> DATE (w CQMIdlT~EE, IN ADO~ION TO CQMM~EI'S Il ANO ADOM~S, ENTER I.D. NUMBER (IF SELF-EMIq, OYEDo ENTER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVE D O~. I~ NO I.D. NUMB[R HAS MEN ASS4G~D, INTER TIIEASU~R~ NAME AND ADO~SS) HAME m mmmss) PERIOD (JAN. 1 - DEC. 31) (IF APPLICABLE) <br /> i <br /> <br />Monetary Contributions Summary <br />1. Amount received this period -- contributions of $100 or more. /~o <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 contributions received this period. ~ ~ ~) ~-~ <br />(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................................... TOTAL $ ' <br /> <br /> <br />