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r t <br /> S <br /> i <br /> C DULE A: RECEIPTS(continued) <br /> r <br /> i <br /> Name and Residential Address Occupation&Employer <br /> Date Received (alphabetical listing required) Amount (for contributions of$200 or more) <br /> pr <br /> p ; <br /> ikF'F ioGa� l}+ y9 i Ai <br /> MWh <br /> rhr� <br /> i+t <br /> Kn <br /> y 4}* L <br /> `kaq.cp <br /> CD <br /> IL <br /> r <br /> I <br /> Line 10: Total Receipts over or listed above) Ifyou have itemized reer t and <br /> un der,include them in Kh e 10. Line I1 r <br /> Line 11: Total Receipts and under(not listed above) should include only those receipts not <br /> itemized above. <br /> Line 1 : TOTAL RECEIPTS IN THE PERIOD j$w32:: -" Enter on page 1,line <br /> Page <br />