Laserfiche WebLink
~E ~ ~F[E~K ~ ~DATE ~D CO~D COMMI~EE ' I.D. NUMBER <br /> <br /> ' ' FULL ~l ~ ~SS ~ ~NTRIBUT~ ': ~CUPAT~ ~D E~OYER CUM~TIVE TO <br /> RE~D" ~, · ' ~ ~MOYW, Emi~ DATE ~TEOTHE~ <br /> J <br />1. ~nt r~ei~ ~S ~d~-- ~mm~ c~lbuflons of S I ~ or more. <br />2. ~nt r~ei~ t~s ~rl~ ~m~ta~ c~tributlons of less then $1 ~. ~ ' ; , <br />TotBI ' ' ' <br />3. <br />~-m~tl~ contributions tecew~ this ~rl~. ~ ¢~ $ ~ { <br />~&dd LI~ ~ ~ 1. Ente~ ~r~ ~ ~ t~ Summ~ P~e, Column A, Line 4.} ....................... TOTAL $ <br /> <br /> <br />