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03/13/2016 18 : 18 Image# 201603139009738071 PAGE 1 / 30 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3X For Other Than An Authorized Committee OFCE Use Only 1. TYPE OR PRINT NAME OF COMMITTEE (in
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Box 25046 is a section on a specific form or document where certain information needs to be reported.
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