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Schedule A Type or print in ink. ~ <br /> SCHEDULE A <br />Monetary ContributiOns Received Amounts may be roundedto whole doll&rs,fromStatement covers geriod //'"~ / <br /> I <br /> FU/L NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER A~OUNT CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> ~ DATE (tf COMMITIEE, IN ADDrilOt¢ TO COMMITTEE'S NAME AND ADDRESS, ENTER I.O NUMBER (If SELf-EMPLOYED, ENIER RECEIVED THIS CALENDAR YEAR OTHER <br /> RECEIVE D oR. if NO I.O. NUMBER NAS BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS) NAME De BUSa~ES$) PERIOD (JAN. 1 - DEC. 31) (IF APPLICABLE) <br /> SUBTOTAL $ <br /> <br />Monetary Contributions Summary <br />1. Amount received this period -- contributions of $100 or more. ~. 2 ~-'~-~ <br />(Include all Schedule A subtotals.) ............................................................................................... $ ~-- ! <br />2. Amount received this period -- contributions of less than $100. ~__ 5~'-~/~c~ <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 $ 4~""~, <br /> <br /> <br />