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A4, G, L. c. 55 requires that the name and residential address be redorled, in alphabetical order, for all receipts <br />elver $50, in a calendar year. Committees must keep detailed accounts and records of all receipts, but need only <br />jl 6 tIllige those receipts over $50. In addition, the uvwpallorit and urnployer must be reporeedfor all persons wito <br />el ygrIbute $200 or more in a calendar year, <br />1-1 page may be copied if additional pages are required to report all receipts. Please include your committee name and a page <br />j , 111 11bor on each page, <br />Date <br />1jecelved <br />Name and Residential Address <br />(alphabetical listing required) <br />Joseph Pato <br />900 'Massachusetts Avenue <br />Lexington, MA 02420 <br />Mount <br />f'JAN <br />ccupation & Employer <br />(for contributions of $200 or more) <br />Line 9: Total TOCCiPts in excess Of $ (Or listed above) <br />Li 10.- Total receipts $50 and under* (not listed above) <br />500 <br />Enter on page 1, line 2 <br />bine 11'. TOTAL RECEIPTS IN THE PEil6ii <br />lI'l <br />o if you have itemized receipts of $50 and under Include them in line 9, Line 10 should Include only those receipts not itemized <br />above. Page 2 <br />