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FORM 1 FINANCIAL INTERESTS I Please print or type your name, mailing I address, agency name, and position below: PASTIME FIRST NAME MIDDLE NAME featherier MAILING ADDRESS : I Cham I FOR OFFICE USE
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Start by writing your last name in the designated field. Make sure to use the correct spelling and capitalization.
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Next, write your first name in the designated field. Again, ensure that you write it accurately and in the proper case.
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