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$C'liEI)UI.E I <br /> <br /> Amount8 may bo roumbd ~/~/,//~ <br />Idiscellaneous Increases to Gash to whotodoUars, from,/,//~. <br /> <br />Si~ E INSII:ILK~TI(::NdS ON REV~ RSt~ through~//~,~--- Psgo-~ of'~ <br />NAME OF OFFICEI4OLDi:'R OR CANDIDATE AND CONTROLLED COMMITTEE: I O. NUMBER <br /> <br /> FULL NAJdE ~ A[:X3RESS OF SOURCE <br /> DATE pF COIddTIEE. Hq AD~IK:~J 10 COOaSaFIEE'S NAtAE AND A~ORESS. £NIER I D NUP. m~R DESCRIPTION OF RECEIPI' AMOUNT OF <br /> RECEIVED OR. If: NO I D NUMIIER HAS BEEN ASSK:aNEO. ENTER TREASURER'S NAME · .AJX~s=$) 11'4CREASE TO CASJ-4 <br /> <br />AffdcA mfdil~ndl h.[ormm~on on ~ ~r~ely ~1~ cW~ ~ds. SUBTOTAL <br /> <br />Miscelb~us I~reases to Cash Su~ / <br />i. I~r~s to c~ of $1~ ~ Mc ~is ~d~ ............................................................................................... $ <br />2. i~rc~s m c~h u~r $1~ ~is ~r~. <br /> <br />3. T~ of Mi inl~csl r~civ~ ~is ~ri~ ~ ~ns m~ m o~c~. ~ <br /> (Sc~dub H, ~fl !1 (b).) ............................................................................................................................... $ <br />4. T~I misccli~c~s incr~s to cash this ~ri~. <br /> (A(M Lincs I, 2 and 3. Enter hcrc a~ (m thc Summ~y Pagc, Linc 15.) ....................................... TOTAL $ /~- ~ <br /> <br /> <br />