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04/15/2014 11 : 14
Image# 14960694620PAGE 1 / 34REPORT 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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PO Box 6621 is a specific post office box where mail can be delivered.
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Individuals or businesses who use PO Box 6621 as their mailing address are required to file.
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Any mail or correspondence sent to PO Box 6621 must include the recipient's name or company name.
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