Fillable Form 1.: SCHEDULE A ITEMIZED CONTRIBUTIONS (Idaho Department of Administration)

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Form 1.: SCHEDULE A ITEMIZED CONTRIBUTIONS (Idaho Department of Administration)

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SCHEDULE A
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee:
Date Received Full Name, Mailing Address and Zip Code of Contributor Cash or Check
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
9.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
8.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
1.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
2.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
3.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
4.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
5.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
6.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
7.
$ _______________
$ _______________
Calendar Year-To-Date
____/____/____
o Primary
o General
10.
Total This Page: $
Page of
Transfer the combined total of all Schedule A pages to the Detailed Summary on page 2 line 2.
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Form 1.: SCHEDULE A ITEMIZED CONTRIBUTIONS (Idaho Department of Administration)

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Completed 15 February 2022

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