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SCHEDULE a RECEIPTS (continued) <br /> _-- Name and Residential Address _ Occupation �.EmployerDate Received (alphabetical listing i°e wired) Amount (fog-contributions of$200 or more) <br /> r*a <br /> X0 <br /> ---------- <br /> Or— <br /> w <br /> Line 9: Total Receipts over$50(or listed above) <br /> Line 10: Total Receipts $50 and under* (not listed above) <br /> Line-.11: TOTAL RECEIPTS IN THE PERIOD o.o <— Enter on page 1, line 2 <br /> If you have itemized receipts of$50 and under,include there in line 9. Line 10 should include only those receipts not itemized above. <br /> Page 3 <br />