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MAY162005 05 :05 PM GROUT MUSEUM DISTRICT 319 236 0500 0,7 77, 17 :73 FOR INSTRUCTIONS, SEE BACK OF FORM DISCLOSURE SUMMARY PAGE COMMITTEE NAME (Must be same as on Statement of Orientation). IMPORTANT:
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0d fu - iowa refers to the Iowa Individual Income Tax Return form used to report income taxes in the state of Iowa.
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