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’t e; e FINANCIAL DISCLOSURE S7A N For the calendar year State Form 40876(R12 / 12-13) 7 OFFICE OF THE INSPECTOR GENERAL '., .-, .r; D. Q Lt)Ir. C 4-2-6-8. Check if this is an amendment to your

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Page 1 t e is the first page of the form t e which is used for reporting tax information.

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