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WAIVER OF REPORT (Section 106.07(7), F.S.) (PLEASE TYPE) Name)0 LA 10 la. If, J?l) FL I Address F/I/. J::::.j Candidate r1 Ii Political Committee 397/ State I Zip Code ! Electioneering Communications
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i r1 - city refers to the form used to report city income tax information.
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