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05/05/2014 11 : 22 Image# 14941176080 PAGE 1 / 12 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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Office use only refers to information or documents that are to be used internally within an organization and not shared with external parties.
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