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07/15/2013 13 : 12 Image# 13941128048 PAGE 1 / 25 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3 1. For An Authorized Committee NAME OF COMMITTEE (in full) OFCE Use Only Example: If typing, type
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Vote Heidi Hall is a form that must be filled out by eligible voters in order to cast their vote for Heidi Hall in an election.
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