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PAGE1Commonwealth of PennsylvaniaCampaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Number :11 CHURCH Street

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Write the number '11' in the first field for house number.

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Write 'Church Rd' in the second field for street name.

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11 Church Rd is the address of a specific location or property.

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