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08/07/2014 00 : 14
Image# 14942422928PAGE 1 / 29REPORT 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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Box 140376 is a designated section on a specific form used for reporting certain information.
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