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07/22/2010 21:55 FAX SUSAN B A N T H O N Y LIST 7038753375 1001/007 PAGE 1/7 PEC FORM 5 REPORT OF INDEPENDENT EXPENDITURES MADE AND CONTRIBUTIONS RECEIVED To Bi UMD by Minor (Otter thin Polyol Commutes)
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Start by entering the date on the fax cover sheet. In this case, the date would be July 22, 2010 (07222010).
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Fill in the time of transmission. In this case, it would be 21:55 (2155).
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