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01×30/2014 22 : 27 Image# 14960304727 PAGE 1 × 76 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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0130 22 27 image is a form used for reporting certain financial information to the relevant authorities.
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