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06/20/2012 15 : 00 Image# 12952180426 PAGE 1 / 6 REPORT OF RECEIPTS AND DISBURSEMENTS FEC FORM 3X For Other Than An Authorized Committee OFCE Use Only 1. TYPE OR PRINT NAME OF COMMITTEE (in full)
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0620 15 00 image refers to a specific form or document used for reporting certain information to a regulatory agency.
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