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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 /> Line 9: Total Receipts over$50 (or listed above) <br /> Line 10: Total Receipts$50 and under* (not listed above) F-J <br /> Line 11: TOTAL RECEIPTS IN THE PERIOD <-- Enter on page 1,line 2 <br /> * If you have itemized receipts of$50 and under, include them in line 9. Line 14 should include only those receipts not itemized above. <br /> Page 3 <br />