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<br />RECEIPTS <br />(Exhibit AI <br /> <br />Include all money. property and things of value received during the period of time covered by this report. Attach additional sheets if necessary. <br /> <br />Date <br />received <br /> <br />Name and address <br /> <br />Money or thing <br />of value received <br /> <br />Total amount received $ <br /> <br />PROMISES OR PLEDGES RECEIVABLE <br />(Exhibit B) <br /> <br />Include all things of value promised or pledged. Include things listed in previous report which still fall within this category, Attach <br />additional sheets if necessary. <br /> <br />Date <br /> <br />Name and address <br /> <br />Thing promised and value <br /> <br />Total amount promised or pledged $ <br /> <br />. <br /> <br />Page 2 . ~ . <br /> <br />