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R. S. 16- 902 A. NAME OF COMMITTEE CHAIRMAN ar L4 A CHAIRMAN S TELEPHONE CHAIRMAN S FAX 3- Q CHAIRMAN S ADDRESS fsCHA RMAN S OCC Tryvcr Jos Q TREA A d CHAIRMAN N tt S oK TREASUR R sT/ 9 I/ J rrj TREASURER S TELEPHONE 2 o RER S ADDRESS EMPLOYER rah vile- TREASURER S EMPLOYER Sv C/ Me ght- dX TREASURER S FAX TREASURER S OCCUPATION 4101f CHAIRMAN S E- MAIL ADDRESS L- Or C/// Ile 4 e TREASURER S E- MAIL/ADDRESS S A at / gig Rev. 12/ 2011 BEFORE A POLITICAL COMMITTEE ACCEPTS A CONTRIBUTION OR...

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