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SCHEDULE A: RECEIPTS <br />A/.G.L. c. 55 requires that the name and residential address he reported, in alphabetical order, for all receipts over S50 in a calendar <br />year. Committees must keep detailed accounts and records of a// receipts, but need only itemize those receipts over 850. In addition, the <br />occupation and employer must be reporter/ for all persons who contribute 8200 or more in a calendar pear. <br />(A "Schedule A: Receipts" attachment is available to complete, print and attach to this report, if additional pages are required to <br />report all receipts. Please include your committee name and a page number on each page.) <br />Date Received <br />Name and Residential Address <br />(alphabetical listing required) <br />Amount <br />0,ccu tati49 St Eniployer_t <br />(for emitl'ihntions'of $201lor store) <br />E- Enter on page I, line 2 <br />Line 9: Total Receil is over $50 (or listed above) <br />Line 10: Total Receipts $50 and under* (not listed above) <br />100 <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />100 <br />* If you have itemized receipts of $50 and under, include them in line 9. Line 10 shoul I include only those receipts not itemized above. <br />Page 2 <br />