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SCHEDULE A: RECEIPTS <br />k/,C „L, c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts <br />cwer $50, in a calendar year. Committees must keep detailed accounts and records of all receipts, but need only <br />yutuixe those receipts over $50. In addttlun, the uv and employer must be reported for all persons who <br />volliribute $200 or more in a calendar year, <br />1.1 ►is page may be copied if additional pages are required to report all receipts. Please include your committee name and a page <br />_>_ <br />11111nnC vii ca%, <br />Date <br />iteceived <br />it Nagy, <br />Name and Residential Address <br />(alphabetical fisting required) <br />Amount <br />Occupation & Employer <br />(for contributions of $200 or more) <br />12/13112 <br />Joseph Pato <br />900 Massachusetts Avenue <br />Lexington, MA 02420 <br />LOAN <br />500 <br />00 <br />�'� .,✓� d° �.. '” <br />f t"P" <br />k <br />•_x <br />R e` <br />V <br />Line 9: Total receipts in excess of $50 (or usto anove) <br />Line 10: Total receipts $50 and under* (not listed above) <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />* if you have itemized receipts of $50 and under include them in line 9 <br />abavc, <br />500 <br />00100 <br />500 0o Enter on page 1, line 2 <br />Line 10 should include only those receipts not itemized <br />Page 2 <br />r <br />