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12/28/2015 15 : 57 Image# 201512289004424086 24/48 HOUR REPORT OF INDEPENDENT EXPENDITURES 1-PAGE OF 1 FOR SE OF FORM 24/48 (Schedule E) NAME OF COMMITTEE (In Full) FEC IDENTIFICATION NUMBER The 2016
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Start by writing your full name on the first line. Make sure to use your legal name and include any applicable titles, such as Mr., Mrs., or Dr.
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Finally, on the last line, write the name of your country. In this case, it would be the United States.

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Individuals or businesses residing at or operating from 22929 Norformast require this specific mailing address for correspondence purposes.
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