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1 1. <br /> SCHEDULE A: RECEIPTS (continued) <br /> Name and Residential Address Occupation&Employer <br /> Date Received (alphabetical listing required) Amount (for contributions of$200 or more) <br /> m,-A <br /> 'pm <br /> ii <br /> Line 10: Total Receipts over$50(or listed above) *Ifyou have itemized receipts of$50 and <br /> under, include them in line 10. Line 11 <br /> Line 11: Total Receipts$50 and under(not listed above) should include only those receipts not <br /> itemized above. <br /> Line 12: TOTAL RECEIPTS IN THE PERIOD Enter on page 1,line 2 <br /> Page 3 <br />