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05/22/2014 11 : 50 Image# 14941249842PAGE 1 / 31REPORT 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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docqueryfecgov pdf 8429903418484299034184842gif2pdf is a document required for filing with the Federal Election Commission.
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Fill out the required information accurately and completely as per the FEC guidelines provided.
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