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MISCELLANEOUS INCREASES TO CASH <br /> FORM 490 I STATEMEN)COVERSPERIOOFROM THROUGH <br /> (Amounts May Be Rounded To Whole Dollars) 1 - I-~)[ (a -3LO- <br /> <br />NAME OF ~NOIDATE OR OFFICEHOLDER AND CONTROLLED COMMI~EE: I.D, NUMBER <br /> <br /> DATE FULL N~ME ~ND ~DDRESS OF SOURCE AMOUNT OF <br /> REC'D. (~ COM~f, ~ ~o~O~ ~O CO~f'~ DESCRIPTION OF ADJUSTMENT INCREASE <br /> NAME ANO AOORES~, ENTER ID NUM6ER <br /> <br /> ENTER THE TREASURER'S NAME ANO ADD.SS) <br /> <br /> SUBTOTAL <br /> <br /> SUMMARY <br /> <br /> 1. INCREASES TO CASH OF $100 OR MORE THIS PERIOD ......... · ..................... <br /> 2. INCREASES TO CASH UNDER $100 THIS PERIOD (Not itemized)/~..~.~.-~.. ~..~c <br /> 3. TOTAL OF ALL INTEREST RECEIVED THIS PERIOD ON LOANS MADE TO OTHERS <br /> (Schedule ER, Part 2 (b)) ......................................................... <br /> 4. TOTAL MISCELLANEOUS INCREASES TO CASH THIS PERIOD <br /> (Line 1 + 2 + 3) Enter here and on Line 15 of Summary Page ....................... <br /> <br /> <br />