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Aggregated Contributions from Individuals Page <br />of —L <br />Amendment <br />V Yes No <br />Optional form used to report NC Contributions From Individuals of $50 or less <br />1. Comnmittee Full Name and Fund if applicable) <br />2.1D Number <br />' + <br />3. Contributor Information <br />b. Account d. In -Kind <br />a. Amend Code c. Form of Payment Deseri lion <br />e. Date <br />mmlddl <br />L Amount <br />Ada <br />0 <br />Remove <br />Add <br />` 2 <br />Q <br />Remove <br />Add <br />C lq S <br />Remove ] <br />Ada �, Lg31� <br />�, 1 6 <br />$ 50' 00 <br />�%� <br />AddRemove <br />�+ <br />f. <br />U �r <br />$ 3 0-07) <br />El Remove [J� t� <br />Add <br />$ ,a - <br />Remove <br />Add <br />! <br />$ <br />Removes <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />Add <br />$ <br />Remove <br />4. Total only this Page <br />$ <br />k <br />5. Total of ALL CRO-1205 Pages <br />$ <br />(This line must be on line 5 of Derailed Summary Page CRO-1100) <br />NC State Board of Elections <br />CRO-1205 <br />April 2007 <br />