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SCI A: RI: <br /> ('1=.i11'1S(continued) <br /> Occup2tion & Employer <br /> IVstnee and Hevidenliul A�lElrrxx <br /> Date Received (01111"hetical H.Slifig required) Amount (for contributions of$200 or more) <br /> i <br /> rn <br /> 71 <br /> t <br /> I <br /> I <br /> I <br /> 7n .k <br /> k <br /> f <br /> 1 <br /> I <br /> i <br /> I <br /> Line 9 '[focal Receipts over $SU for listed above) <br /> Cine 10 Total Receipts$50 an t lander* 01ol listed above) <br /> Line 1I:TOTAL,1tE('FIIr1'S IN Tim PERIOD E- Enteron page 1, line 2 <br /> "if you have itemizod receipts of$50 and under, include Ihein in line 9. Line 10 should include only those receipts.not itemized above. <br /> Page 3 <br />