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. 0. '0 0 0c. C 'l IX) N :I; 't. “.IQ0 N 0 ('I)('I)0Received By Town Clerk#TT? Date o 3 FY/ 1 Time JJ:1.f1 I Town of Apple Valle9Z C fly// k/497 Contribution ReportAmountsmayberoundedtowholedollars.NAME
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