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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* (riot listed above) <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 10 should include only those receipts not itemized above. <br /> Page 3 <br />