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FORM 1 STATEMENT OF 2004 Please print or a dd less, agency name, a ND FINANCIAL INTERESTS m d 'on 'be low: POS LAST NAME FIRST NAME MIDDLE NAME: / L q F MAILING 7 FOR OFFICE USE ONLY: Jr ADDRESS;/
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bformb 1 statement is a declaration of financial information.
Any individual or entity required by law to disclose their financial information.
Fill out the form with accurate financial information as per the instructions provided.
The purpose is to provide transparency and accountability regarding financial matters.
All relevant financial information as per the guidelines provided.
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