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FLORIDA D APARTMENT OF STATE DIVISION 0 ELECTIONS CAMPAIGN TREASURER'S RE PQR, SUMMARY 649:j (1) Diane L. Scott Name (2) 5710 Manson Highway I”, MILTON L, J OFFICE USE ONLY FL 32tJI, ') Z006 APR

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The X K2 L39 A is a form used for reporting specific information to the IRS.

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