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e�edule A rYPa o� prfnt In Ink. SCHEDULE A <br /> Amounb may be rounded Statament covers perlod <br /> lonetary Contributions Received co Wno�a ao��ero. • ' � 0 1 <br /> from �- /- �g • ' <br /> through 7 - 3 0 - O$ page�of._.1— <br /> E!HIISTRUCTIONS ON REVERSE <br /> I.D. NUMBER <br /> .A�OF FIIER <br /> � /� omsa inE� f orfG <br /> C lTl!€,VS 7U CJlCG I�i�DWOOO �tT1 /o� iTiCAti fycTio.� � <br /> IF AN INDIVIDUAL, ENTER PMOUM CUMUU�TNETOOATE PERELECT�ON <br /> ,�� FULL NAME.STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATIONANO EMPLOYER RECEIVED THIS CALENDAR VEAR TO DATE <br /> 6$EWED QFLOMMiTTEE.�L50ENTERI,D.NUM6ER� CODE • (IFSEIFEMPLOVEO,ENTEPWIME PERIOD �JAN. 1 � DEC. 31) QF REOUIRED) <br /> OFBUSINE56) <br /> �R►Jer' �- M��r �/xz� Eus pcoM ST��/��sr /b4� <br /> 9�- � ❑OTH s�F '�'MP��YEv <br /> ❑Prr <br /> �?eow�n G � �40�, ❑5�� �a�, (vNE£� <br /> �ND OG <br /> �/� C'. l-, !Uvu 2oc— oo°N ��r�%���o IOGU .' <br /> . �Pn. <br /> I�Eoc�.�co o c.. �3 1�{b63 ❑scc <br /> l I DA � q�-Ss�.LMO ocoM �IR£,D Zci= <br /> �/ � 3 E �P1T."r <br /> .�7 n ❑ <br /> TCEOwOa� l. � 9 �O 6 Oscc <br /> �IND mO <br /> �/3 TAMRQA w C�1ac.rsrt P�ua�� ❑conn ��"T 1�:6A Sa <br /> pPrv <br /> � rC£owoDA Clr � 4Vo 6 �scc <br /> /vipay and C�.ynE �.An�o�s �coM a�` <br /> '��� ❑oTH �£T 12£D <br /> �PTY <br /> 12�pWOOO GIT �A 4�1d6 / ❑SCc <br /> SUBTOTALS � �J� <br /> �hedule A Summary � P�� � 'Contriburor Codes <br /> IND-Individual <br /> 6Rmount received this period-itemized monetary contributions. CoM-ReciP�encComm�nee <br /> �clude all Schedule A subtotals.)................... . - $ (other than PTY or SCC) <br /> _............_.................................. <br /> Ol}I-Other(e.g., business entiry) <br /> e�nount received this period-unitemized monetary contributions of I ss than$100 ............................. $ p7y-political Perty <br /> SCC^Small Conlriburor Committee <br /> lfotal monetary contributions received this period. TOTAL $ <br /> �Eldd Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)....................... Fpac Form a5o��anuaryios� <br /> FPPC 7oU-Free Melpline:B6WASK•FPPC(B6fi1275•�772) <br />