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SCHEDULE A: RECEIPTS <br />dLG.L. c. 55 requires that the name and residential address be reporter!, in alphabetical order, for all receipts over $50 in ra calendar <br />year Committees must keep detailed accounts and records ofall receipts, but need only itemize those receipts over S50. In addition, the <br />occupation and employer durst be reported for all persons who contribute 5200 or more in a calendar ['ear. <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 />Occupation & Employer <br />(for contributions of $200 or more) <br />Line 9: Total Rece ipts over $50 (or listed above) <br /><- Enter on page I, line 2 <br />Line 10: Total Receipts $50 and under* (not listed above) <br />100 <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />100 <br />* Ifyou have itemized receipts of$50 and under, include then in line 9. Line 10 should include only those receipts not itemized above. <br />Page 2 <br />