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08/28/2014 17 : 56
Image# 14950091939PAGE 1 / 59REPORT OF RECEIPTS
AND DISBURSEMENTS FEC
FORM 3
1. For An Authorized Committeeman OF
COMMITTEE (in full)Office Use OnlyExample: If typing, type
over
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Page 1 59 refers to a specific form or document used for reporting certain information to the relevant authority.
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