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3/3 <br /> To Whom Paid <br /> Date Paid (alphabetical listing) Address Purpose of Expenditure Amount <br /> Line 12: Expenditures over$50 (or listed above) <br /> Line 13: Expenditures$50 and under* (not listed above) J <br /> Enteron pale 1, line 4 > Line 14: TOTAL EXPENDITURES IN TTIE PERIOD <br /> I£you have itemized expenditures of$50 and under, include them in line 12. Line 13 should include only those expenditures not itemized <br /> shhvr <br />