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NEW HAMPSHIRE STATEMENT OF FINANCIAL INTERESTS RSA 1S-A --RETURN TO STATHouseroomOM 204 Type or Print Clearly Full Name IJ-, L-C 5 t- A ft/tend J I Work Address 11 p.o, BC -- Jo ...... E.:1 6 U61t
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Full name ij- l-c requires the reporting of an individual's first name, middle name (if applicable), and last name. Additional information such as suffixes (e.g., Jr., Sr.) may also be included, if relevant.
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