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09/25/2012 08 : 55 Image# 12953675108PAGE 1 / 73REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3XFor Other Than An Authorized Committee Office Use Only1.TYPE OR PRINTABLE OF COMMITTEE (in full)Example:
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The American College of Radiology is a professional medical society dedicated to serving patients and society by empowering radiology professionals to advance the practice, science, and professions of radiologic care.
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