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<br />Page 2 <br /> <br />MAJOR CONTRIBUTORS <br />(Exhibit A) <br /> <br />Any individual or committee that during the year has made one or more contributions that total $500 or more must be listed <br />separately. All other contributions may be totaled together and listed as one entry in Exhibit B. Attach additional sheets jf <br />necessary . <br /> <br />Date Name and address Money or thing <br />received of value received <br /> , <br /> <br />Total amount received $ <br /> <br />OTHER CONTRIBUTIONS RECEIVED <br />(Exhibit B) <br /> <br />All contributions not listed under Exhibit A received during the period of time covered by this report. Contributions should <br />be listed by type rather than contributor. <br /> <br />MONEY $ f.oqS,~ <br /> + 4 '(J/ <br />THINGS OF VALUE $ 7q,_ <br /> - ) I ~ 'l,lt! <br />TOTAL AMOUNT RECEIVED $ <br /> <br />. <br /> <br />