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04/15/2014 13 : 23
Image# 14960704810PAGE 1 / 110REPORT 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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Add lines 13a refers to specific subsections on a financial form, typically used to report certain income or deductions.
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