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Schedule A <br /> Monetary Contributions Received <br /> SEE INSTRUCTIONS ON REVERSE <br /> Type or print in ink. <br /> Amounts may be rounded <br /> to whole dollars. <br /> DATE FULL NAME,MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR <br /> RECENEO UFCOMMITTEENLSOEMERID NUMBER) CODE �` <br /> /� U nit� U,» �v•� �'t"Koo f-�� �IND <br /> oZ v�} i.u'a,�i-�r-�raofe�'� $'/�//�,�� tvn✓� 3 ❑conn <br /> �S i=,llvn.or�c S�-' �orr, <br /> s.; ,,, r_s„ .,.. .� . r n rs Q�[, i'7 <br /> Cre,- i .S� /. Y�Iu.-y�/� r'S <br /> .3�IJ�OJ . <br /> v+��ioQs;d1� , ��- ����a-- <br /> IF AN INDIVIDUAL,ENTER <br /> OCCUPATIONANDEMPLOVER <br /> �IF SELFEMPLOYEq ENiER NAME <br /> OF BUSINE55) <br /> y�iNO Ov� a�r" <br /> ❑coM '' <br /> ❑OTH y'✓�a.��rs Je u� � <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> period <br /> (rom <br /> through � �% v <br /> AMOUNT <br /> RECENED THIS <br /> PERIOD <br /> ,200.0� <br /> /,So, c�o <br /> 6Y�7:Iqfl�A4_� <br /> Page�of� <br /> I.D.NUMBER <br /> y90 7s d <br /> CUMULATIVE TO DATE CUMULATIVE TO DATE <br /> CALENOARVEAR OTHER <br /> (JAN.1-DEC.31) (IFAPPLICABLE) <br /> D ao ,,2 pD.o0 <br /> o . ov �s'"a .oc� <br /> SUBTOTAL S ,,3SQ.E)O I��. . .. . , <br /> Schedule A Summary <br /> 1. Amounf received this period—contributions of$100 or more. <br /> (Include all Schedule A subtotals.)....................................................................................................... $ .3 �� .DIJ <br /> 2. Amount received this period—unitemized contributions of less than $100 ......................................... $ %� 'Q� <br /> 3. Total monetary contributions received this period 1.�G,p �Fl <br /> (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL S �� <br /> 'Cantnbulor Codes <br /> IND-Individual <br /> COM-Recipien�Commitlee <br /> OTH-Other <br /> FPPC Form 460(8199) <br /> For Techn7cal Assistance: 916I322-5660 <br />