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ITEMIZED CONTRIBUTIONS - Florida Department …

CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS (1) Name (2) Number (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount / / / / / / / /

Multiple uniform contributions from the same person, aggregating NMT $250 per calendar year, collected by an organization that is the affiliated

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