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To certify which witness my hand and seal of office. Signaturfl of officer adnimisterilig oath Printed name otj fficer admirvisjering oath Title oTofficer administenng oatn T D D 1-800-735-2989 POLITICAL CONTRIBUTIONS SCHEDULE The INSTRUCTION GUIDE e x p l a i n s how t o complete this form. A S c h e d u l e 1/8 R e p o r t 3 / 1 2 FILER NAME Date Full name of contributor out-of-state PAC iD A n a s t o s J a m e s Mr. 10/14/2014 6 Contributor address 7521 Cove Point Raleigh NC 27513 City...
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