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08/18/2016 08 : 26 Image# 201608189022505600 PAGE 1 / 21 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3X For Other Than An Authorized Committee OFCE Use Only 1. TYPE OR PRINT NAME OF COMMITTEE (in
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Page 1 21 is a specific form or section of a document used for reporting information.
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