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(1)FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONSCAMPAIGN TREASURER IS REPORTS Lori C. MoseleyName (2)MARYE1Wiur r IV f;EClBr8E USE Online fEB2 Lt 0: 503314 SW 173rd Terrace Address (number and

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Ur r ivquot f-eclbr8e is a form used to report certain financial transactions to the tax authorities.

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