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Signature of Candidate or Officeholder AFFIX NOTA RY STAMP / SEAL ABOVE Sworn to and subscribed before me by the said this the day of 20 to certify which witness my hand and seal of office. CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER 1 Filer ID Ethics Commission Filers FORM COR-C/OH 2 Total pages filed OFFICE USE ONLY MS / MRS / MR 3 CANDIDATE / OFFICEHOLDER NAME FIRST NICKNAME 4 ORIGINAL REPORT TYPE 5 ORIGINAL PERIOD COVERED MI LAST Date Received SUFFIX January 15 Runoff Other...
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