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SCHEDULE A: RECEIPTS <br />A,1.G,L. c. SS requires that the name and residential address be reported in alpliatie ' n o4 for all receipts <br />over $50. in a calendar year. Committees must keep detailed accounts and r al receipts, but need only <br />itittnize those receipts over $50. In addition, the occupation crud employer r E who <br />V11111ribute $200 or more in a calendar year. TOWN! ` Cy I P <br />may be copied if additional es are required to report all receipts. Please inclu e our cbri c and a e <br />'Phis page P pages P Y page <br />...d.,.r nn each naee- <br />Date <br />Received <br />Name and Residential Address <br />(alphabetical listing required) <br />Amount <br />Occupation & Employer <br />(for contributions of $200 or more) <br />Line 9: Total receipts in excess of $50 (or listed above) <br />Enter on page 1, line 2 <br />n T :. to ..t....aw :....t..de ...,t., tl6 en rars+inte not iterni7 <br />Line 10: Total receipts $50 and under* (not listed above) <br />Line 11: TOTAL RECEIPTS IN THE PERIOD <br />_ _-- .-- -'- -�_ u_- <br />If you have itemized receipts o f 3JU and under lncluue t1jul:1 111 11116 7. ■JI11G 1V 041vulu uKauuv va+ g U__ - -•r• <br />above. Page 2 <br />ed <br />