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SCHEDULE A: RECEIPTS <br />NGG.L c. 55 requires that the name and residential address be reported, in alphabetical order, for all receipts <br />(1ver $SO.in a calendar year. Committees must keep detailed accounts and records of all receipts, but need only <br />i14 those receipts over s.50. In addition, the ucc upallorr and e rnplayer must be reported far• all persons who <br />contribute $200 or more in a calendar year. <br />7ytis page may be copied if additional pages are required to report all receipts. Please include your committee name and a page <br />-L . <br />ItItInV�%4 vx ♦.awe <br />Date <br />Received <br />Nugv. <br />Name and Residential Address <br />(alphabetical listing required) <br />Amount <br />Occupation & Employer <br />(for contributions of $200 or more) <br />r : 71-1b <br />._' cn <br />7 <br />Line 9: Total receipts in excess of $50 (or listed above) <br />Li 10: Total receipts $50 and under* (not listed above) <br />Line 11.: TOT RECEIPTS IN THE PERIOD <br />if y o u �ha have itemized receipts of $5Q and under include them in line 9 <br />abovo. <br />00100 <br />00100 <br />oo I oo I Enter on page 1, line 2 <br />Line 10 should include only those receipts not itemized <br />Page 2 <br />