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FORM 1 Please print or type your name, mailing address, agency name, and position below:STATEMENT OF FINANCIAL INTERESTSI2012 FO\'FICE USE ONLY:LAST NAME FIRST NAME MIDDLE NAME :D,Angelo, Mike MAILING

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Start by writing the first name 'D' for D'Angelo.

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Then write the middle name 'Angelo'.

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The complete middle name should be 'Angelo'.

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