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<br />RECEIPTS <br />(Exhibit A) <br /> <br />Page 2' <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 . Money or thing <br /> received Name and address of val ue received <br />/o/,;Jfl,f7 r ,4,I.RLF,6'f/77 Aut,!) -7Jr/:'}!I;1) p,c-/jI1r3U~ "c- ~cvvr _;Jt), !J ~ <br />f , -. -.- <br /> , <br /> . <br /> .. <br /> <br />Total amount received <br /> <br />$ <br /> <br /> <br />PROMISES OR PLEDGES RECEIVABLE <br />(Exhibit B) <br /> <br />.5af SF- <br /> <br />/ <br /> <br />Include all things of value promised or pledged. Include things listed in previous report which still fall within this- category. Attech <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 />r/ <br /> <br />./ <br />