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10/20/2011 22 : 29 Image# 11971762898 PAGE 1 / 7 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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1020 22 29 image is the reference number for a specific tax form used for reporting certain information to the IRS.
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