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<br />Page 2 <br /> <br />RECEIPTS <br />(Exhibit Al <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 Name and address Money or thing <br />received of value received <br />B~21-e7 0........ I A/, s /&.,:- <;.~ <br /> .. <br /> I <br /> . <br /> . <br /> . <br /> . <br /> . <br /> <br />Total amount received <br /> <br />$ <br /> <br />s~ <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 />#~ <br />- <br /> <br />Total amount promised or pledged $ <br />