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FOR I NSTRUCT I ONS, SEE BACK OF FORMDI SCLOSURE SUMMARY PAGE

COMMI TT EE NAME ( Mu s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )

I MPC3ATANT : I n d i g t e b y # t y p e o f c o mm i t t y o u a r e r e p o r t i n g f o r :( 1 ) S t a t e w i d e / L e g i s l a t i v e / J u d g e S t a n d i n g f o t e n t i o n C a n d i d a t e ( 2 ) S t a t e PAC ( 3 ) S t P a r t y( 4 ) C o u n t y C e n t r a l C o m m i t t e e ( 5 ) C o u n t y C an d i d a t e ( 6 ) C i t y Ca n i d a t e ( 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PAC ( 1 1 ) L o c a l B a l l o t I s s

1 AM F I L I N G A ! w( r e p o r t d a t e )

OCHECK I F AMENDMENT TO REPORT DATED0C h e c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t an d a t t a c h No t i c e o f D i s s o l u t i o n F o r m DR- 3( Y o u mu s t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

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P o l i t i c a l P a r t y ( i f a p p l i c a b l e )

I n d i c a t e b y # 1 /

STATEMENT OF CASH ON HANDCASH ON HAND a t t h e b e g i n n i n g o f t h e r e p o r t i n g p e r i o d . . ( T o t a l o f a l l f u n d s h e l d b y t h ec o m m i t t e e . T h i s amount MUST b e t h e s ame a s t h e c a s h o n h a n d a t t h e e n do f t h e l a s t r e p o r t i n g p e r i o d o r mu s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

* " UNPAI D BI L L S ( F r o m S c h e d u l e D - A t t a c h S c h e d u l e D ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* I N KI ND CONTR I BUT I ONS ( F r o m S c h e d u l e E - A t t a c h S c h e d u l e E ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $* * OUTSTANDI NG LOANS ( F r o m S c he d u l e F - A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . : . . . . . . . . . . . . $CANDI DATE COMMI TT EES ONLY:CONSUL TANT BREAKDOWN ( S c h e d u l e GA t t a c h e d ? )VALUE OF CAMPAI GN PROPERTY ( F r o m S c h e d u l e H - A t t a c h S c h e d u l e H )

FORMDR- 2 DI SCLOSURE( R e v . 0 7 / 2 0 0 4 ) REPORTF o r O f f i c e Us e On l yCo mm. #L o g g e dS c a n n e dC o mp u t e rA u d i t e d

L a t e r e p o r t s a r e s u b j e c t t op o s s i b l e c i v i l an d c r i m i n a lp e n a l t i e s .

REPORT FOR ( 1 ) ELECT I ON / ( 2 ) NON- EL ECT I ON YEAR .

L o c a l C omm i t t e e s , e n t e r D a t e o f E l e c t i o nC o u n t y & L o c a l C o mm i t t e e s , e n t e r C o u n t y i nw h i c h E l e c t i o n i s h e l d

YES NO

ADD TOTAL MONEY TAKEN I N THI S PERI ODS c h e d u l e A : Cash C o n t r i b u t i o n s t o t a l ( A t t a c h S c h e d u l e A ) ( * a l s o s e e i n - k i n d b e l o w ) . . . . . . . .S c h e d u l e F : L o a n s R e c e i v e d t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S c h e d u l e H : T o t a l S a l e s o f Campa i g n P r o p e r t y ( A t t a c h S c h e d u l e H ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( S c h e d u l e H a p p l i e s t o C a n d i d a t e s ' Commi t t e e s On l y )

~a Q0~

SUB- TOTAL . . . . . $ 3 _ 9 / 7 - 39SUBTRACT TOTAL MONEYSPENT THI S PERI ODS c h e d u l e B : E x p e n d i t u r e s t o t a l ( A t t a c h S c h e d u l e B ) ( * * a l s o s e e d e b t s a n d l o a n s b e l o w ) . . . ' 7 % f - 2S c h e d u l e F : L o a n Repa y men t s t o t a l ( A t t a c h S c h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CASH ON HAND a t t h e e n d o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t b a l a n c e mu s tb e z e r o ) ( A t t a c h D R- 3 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . ~ 9 , Z97- 7

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Fo r I n s t r u c t i o n s , Se e B a c k o f Fo r mCONTRI BUTI ONS - - MONEYTAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f O r g a n i z a t i o n )

Re s e t F o r m

v ~STATE CAND I DATES NOTE : I F A CONTRI BU4 N I S RECEI VED FROM A STATE PAC ( P O L I T I C AC T I ON C OMMI T T E E ) , L I S T T HE P AC I D EN T I F I C A T I ONNUMBER AND THE PAC CHECK NUMBER I N THE DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA E T HI C S AND CAMPAI GNDI SCLOSURE BOARDCAUT I ON : S e c t i o n 6 8B . 3 2 A ( 6 ) , I o wa Co d e , p r o h i b i t s t h e u s e o f i n f o r m a t i o n c o p i e d f r o m r e p o r t s an d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y an y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

D i s c l o s u r e l a w r e q u i r e s c a n d i d a t e c o mm i t t e e s t o d i s c l o s e t h e r e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g a c o n t r i b u t i o n t o t h ec o mm i t t e e . R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b ym a r r i a g e ) . I f s u r name o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b u t t h e r e i s n o Page o f Lf a m i l i a l r e l a t i o n s h i p , e n t e r " n o t a p p l i c a b l e " i n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c h e d u l e A )

SUB- TOTAL

TOTAL ( i i l a s t p a g e o f t h i s s c h e d u l e )

SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECE I PTSCHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELAT I ONSH I P AMOUNT 4 I F FORRECE I VED ( i f a p p l i c a b l e ) TOCANDI DATE` RECEI VED FUND-( MM/ DD/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RA I SERNUMBER I NCOME

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b l i c a n Women o f B l a c k Hawk Co u n t yDe p o s i t 5 / 3 1 / 0 6# Ck Da t e D u e s F i n a n c e P r o j e c t s Me a l s T o t a l L a s t Name F i r s t Name A d d r e s s _ C i t y S t Z i p

P a ymen t4 / 2 2 / 2 0 0 6 $ 1 5 . 0 0 $ 1 5 . 0 0 He r z o g C a t h e r i n e 1 0 3 7 Ra c h e l Wa t e r l o o I A 5 0 7 0 1

T o t a l C u r r e n c y $ - $ - $ 1 5 . 0 0

6 6 6 3 4 / 2 2 / 2 0 0 6 $ 1 5 . 0 0 $ 1 5 . 0 0 K r e i g B e t t y 1 4 33 Mo n t r o s e T e r r a c e D u b u q u e I A 5 2 0 0 19 7 8 0 4 / 2 2 / 2 0 0 6 $ 1 5 . 0 0 $ 1 5 . 0 0 S t e i n b r o n Mr s . F r e d e r i c k G 2 3 2 7 S h a d y Gr o v e R o a d J e s u p I A 5 0 6 4 82 5 7 5 4 / 2 2 / 2 0 0 6 $ 1 5 . 0 0 $ 1 5 . 0 0 Ma l o n e Ma r n i 9 2 8 S o u t h S t r e e t Wa t e r l o o I A 5 0 7 0 26 0 4 0 4 / 1 5 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 Bo wl s b y P a t 1 1 7 9 R i d g emo n t R i a d Wa t e r l o o I A 5 0 7 0 14 1 6 4 / 1 0 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 S c h i l l i n g Ma r g a r e t L 3 4 3 4 T u c s o n D r i v e C e d a r F a l l s I A 5 0 6 1 3

1 2 5 3 0 4 / 1 7 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 C o n k l i n L o u i s e 1 4 7 B a r r i n g t o n Dr Wa t e r l o o I A 5 0 7 0 15 9 3 0 4 / 2 4 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 Th oma s J e a n n e R 1 2 3 5 P r o s p e c t B l v d Wa t e r l o o I A 5 0 7 0 15 4 3 1 4 / 1 2 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 D e e d s C a r o l e 1 8 0 2 O r c h a r d D r i v e C e d a r F a l l s I A 5 0 6 1 3

1 1 2 4 6 5 / 2 4 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 B o r c h e l t M a r g a r e t 8 1 6 L y n k a l e e Dr Wa t e r l o o t o 5 0 7 0 14 7 0 4 5 / 2 4 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 F i s c h e r J N or e e n 1 2 2 Wes t 4 t h S t r e e t C e d a r F a l l s I A 5 0 6 1 34 3 7 3 5 / 1 2 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 Wa r r e n Ma r y E l l e n 3 6 3 8 I n v e r n e s s Rd Wa t e r l o o I A 5 0 7 0 11 0 1 5 5 / 2 5 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 Re h b e r g K a t h l e e n 2 2 7 9 3 1 0 t h S t r e e t R owl e y I A 5 2 3 2 9

C h e c k s $ 2 2 5 . 0 0 $ - $ - $ 2 2 5 . 0 0r a n d T o t a l s

Memo r i a l1 7 1 8 4 / 1 0 . 0 6 $ 2 5 . 0 0 $ 2 5 . 0 0 G i l b e r t s o n K a r l 1 6 0 9 Ra i n b o w Dr C e d a r F a l l s I A 5 0 6 1 3d eM i t : $ 2 6 5 . 0 0

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e p u b l i c a n Women o f B l a c k Hawk Co u n t yDe p o s i t 6 / 3 / 0 6

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# Ck Da t e ; D ue s F i n a n c e P r o j e c t s Me a l s T o t a l L a s t Name F i r s t Name A d d r e s s C i t y S t Z i pPaymen t

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6 / 2 1 2 0 0 6 $ 2 0 . 0 0 A s s o c i a t e $ 2 0 . 0 0 V a n Ke r c k h o v e F r a n k " B u d " 3 7 2 0 V i l l a g e P l a c e , Ap t 6 1 1 0 Wa t e r l o o I A 5 0 7 0 26 / 2 / 2 0 0 6 3 7 me a l s $ 2 9 6 . 0 0 $ 2 9 6 . 0 0_

d o n a t i o n s $ 6 . 0 0 $ 6 . 0 0T o t a l Cu r r e n c y $ 2 0 . 0 0 $ - $ 6 . 0 0 $ 2 9 6 . 0 0 $ 3 2 2 . 0 0

1 0 5 0 _ 5 / 2 / 2 0 0 6 ' $ 8 . 0 0 $ 8 . 0 0 A nd e r s o n J e s s i c a2 4 3 8 6 / 2 / 2 0 0 6 ' $ 8 . 0 0 $ 1 6 . 0 0 C a q u e l i n K e n n et h

$ 8 . 0 0 C a q u e l i n Nor ma E l l e n7 1 1 7 6 / 2 / 2 0 0 6 , $ 8 . 0 0 $ 8 . 0 0 De n n i s L a V a d a6 3 0 7 6 / 2 / 2 0 0 6 $ 8 . 0 0 $ 1 6 . 0 0 D i c k i n s o n J o h n n y

$ 8 . 0 0 D i c k i n s o n ' L y n n2 0 0 4 6 / 2 1 2 0 0 6 ' $ 8 . 0 0 $ 8 . 0 0 Dop f R o b e r t C 7 1 1 2 Hi k c i mb Av e Ur b a n d a l e l a 5 0 3 2 22 5 9 3 6 / 2 / 2 0 0 6 ' $ 8 . 0 0 $ 1 6 . 0 0 L e o n a r d , Ma r k 1 8 6 2 Hwy 5 9 H o l s t e i n l a 5 1 0 2 5

$ 8 . 0 0 L e o n a r d S h e r y l6 5 4 9 6 / 2 / 2 0 0 6 ' ' $ 8 . 0 0 $ 8 . 0 0 F a i r b a n k s J e a n L 2 6 0 3 C o u n t r y Mea d o w L a n e Ce d a r F a l l s l a 5 0 6 1 3

1 0 6 4 4 , 6 / 2 / 2 0 0 6 $ 8 . 0 0 $ 8 . 0 0 H a l v e r s o n I C a r me n2 9 8 1 6 / 2 / 2 0 0 6 ' $ 8 . 0 0 $ 8 . 0 0 J o h a n n s e n S on i a5 3 0 2 6 / 2 / 2 0 0 6 $ 8 . 0 0 $ 8 . 0 0 S a d d B e t t y7 8 0 6 6 / 2 / 2 0 0 6 ' $ 8 . 0 0 $ 8 . 0 0 S c h mi t t S t e v e n3 4 5 3 6 / 2 / 2 0 0 6 $ 8 . 0 0 $ 8 . 0 0 S i mo n Ma r c i d a s5 0 0 4 , 6 / 2 / 2 0 0 6 , $ 8 . 0 0 $ 8 . 0 0 S t u r t z E l a i n e4 5 8 7 6 1 2 / 2 0 0 6 ' $ 8 . 0 0 $ 8 . 0 0 T r o s t J u l i e

1 0 5 6 2 6 / 2 / 2 0 0 6 $ 8 . 0 0 $ 8 . 0 0 T r e l o a r Ma r y E l l e n7 4 0 4 6 / 2 / 2 0 0 6 ' $ 8 . 0 0 $ 1 6 . 0 0 Wh a l e n K i m 2 1 4 0 S t A n d r e ws C i r c l e B e t t e n d o r f l a 5 2 7 2 2

$ 8 . 0 0 P a r i s o R u s s5 5 7 1 5 / 1 2 / 2 0 0 6 ' , $ 2 0 . 0 0 $ 2 0 . 0 0 L i p p o l d He l e n G 1 4 0 F a b e r R oa d Wa t e r l o o l a 5 0 7 0 17 8 0 7 6 / 2 / 2 0 0 6 ' $ 2 0 . 0 0 A s s o c i a t e $ 2 0 . 0 0 S c h mi t t S t e v e n 1 9 2 0 K i t t y Hawk Dr Wa t e r l o o l a 5 0 7 0 11 1 6 0 5 / 1 8 / 2 0 0 6 $ 2 0 . 0 0 A s s o c i a t e $ 2 0 . 0 0 Woo d Do n a l d D 3 2 1 4 A b r a h a m Dr C e d a r F a l l s l a 5 0 6 1 3l d r e d ' s Memo r i a l1 7 4 1 6 / 2 / 2 0 0 6 ' Mi l d r e d 1 $ 1 0 . 0 0 $ 1 0 . 0 0 J a c k s o n J a n e2 5 7 4 4 / 2 0 / 2 0 0 6 ' Mi l d r e d $ 5 . 0 0 $ 5 . 0 0 Ma l o n e M a r n i

C h e c k s $ 6 0 . 0 0 $ - $ 1 5 . 0 0 $ 1 6 0 . 0 0 $ 2 3 5 . 0 0

d e po s i t $ 8 0 . 0 0 $ 2 1 . 0 0 $ 4 5 6 . 0 0 $ 5 5 7 . 0 0

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e p ub l i c a n Women o f B l a c k Ha wk C o u nt yDe p o s i t 7 / 5 / 0 8

Da t e D u e s F i n a n c e P r o j e c t s Me a l s T o t a l L a s t Na me F i r s t Name A d d r e s s c i t y S t Z i pPa yme n t

6 / 2 / 2 0 0 6 $ 1 1 . 5 0 $ 1 1 . 5 0 I T r el o a r Ma r y E l l e nT o t a l Cu r r e n c y $ 1 1 . 5 0 $ 1 1 . 5 0

7 9 0 1 5 / 6 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 P e a s e J a n e t 3 0 1 1 K n o k e P I C e d a r F a l l s I A 5 0 6 1 3 '6 4 9 3 5 / 2 3 / 2 0 0 6 $ 2 0 . 0 0 2 0 . 0 0 ' P e d e r s e n He l e n 1 1 0 Wo o d s t o c k Rd Wa t e r l o o I A 5 0 7 0 11 0 8 9 6 / 2 / 2 0 0 6 $ 2 0 . 0 0 L$7220 . 0 0 V e l d h u i z e n l a n n 1 3 7 R u d y D r i v e Wa t e r l o o I A 5 0 7 0 2 '4 2 2 5 6 / 9 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 1 B e r n a r d Ru t h E 1 5 0 1 8 B l u e b e l l Rd C e d a r F a l l s I A 5 0 6 1 3' ,2 1 9 0 ' 5 / 3 0 / 2 0 0 6 $ 2 0 . 0 0 $ 5 . 0 0 $ 2 5 . 0 0 V a nH o v e Wa n d a L 1 1 2 1 C a r r i a g e L a n e C e d a r F a l l s I A 5 0 6 1 3 1 ,2 9 8 2 6 / 2 / 2 0 0 6 $ 1 5 . 0 0 - $ 1 5 . 0 0 J o h a n n s e n So n i a1 2 0 0 6 / 2 2 / 2 0 0 6 $ 2 0 . 0 0 $ 2 0 . 0 0 Gl e n n V i r g i n i a ' 3 7 2 0 V i l l a g e P l a c e , # 5 1 1 6 Wa t e r l o o I A 5 0 7 0 2' ,

Memo r i a l :9 1 8 0 5 / 2 7 / 2 0 0 6 $ 2 5 . 0 0 $ 2 5 . 0 0 Hammo n d B e r n i c e 3 1 1 Ha r t ma n A v e Wa t e r l o o I A 5 0 7 0 16 4 9 4 5 / 2 3 / 2 0 0 6 $ 1 5 . 0 0 $ 1 5 . 0 0 P e de r s e n He l e n P 1 1 0 Wo o d s t o c c Wa t e r l o o I A 5 0 7 0 1 ' '

C h e c k s $ 1 2 0 . 0 0 $ 1 5 . 0 0 $ 5 . 0 0 $ - $ 1 8 0 . 0 0

d e p o s i t : $ 1 2 0 . 0 0 $ 2 6 . 5 0 $ 4 5 . 0 0 $ 1 9 1 . 5 0

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T HI S BOX APPL I ES TO CANDI DATES' COMMI TTEES ONLY :P u r c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e i n v e n t o r i e d o n S c h e d u l e H . ( R e f e r t o S c h e d u l e H i n s t r u c t i o n s . )E x p e n d i t u r e s t o p e r s o n s / e n t i t i e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g , o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e m i z e d o nS c h e d u l e G b y t h e a mo u n t , p u r p o s e , a n d d a t e o f e a c h t y p e o f e x p e n d i t u r e ma d e b y t h e p e r s o n / e n t i t y o n b e h a l f o f t h e c a n d i d a t e ' s c o mm i t t e e . ( R e f e r t o

I S c h e d u l e G i n s t r u c t i o n s a n d I o w a Co d e 6 8 A . 4 0 2 ( 3 ) ( i ) . )

( f o r S c h e d u l e B )

FOR I NSTRUCTI ONS, SEE BACK OF FORM R e s e t For m SCHEDULEEXPENDI TURES B MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R e v . 0 7 / 0 3 ) EXPENDI TURES

STATE PAC COMMI TT EES : NOTE : FOR CONTRI BUTI ONS MADE TO STATEWI DE OR L E GI S L AT I V ECANDI DATES, L I S T THE CANDI DATE I DE NT I F I C AT I ON NUMBER I N THE DESI GNATED COLUMN AND THE CHECK T HI S BOX I FPAC CHECK NUMBER FOR EACH EXPENDI TURE . A L I S T OF I D NUMBERS I S AVAI LABLE FROM THE I OWA AMENDI NG FORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s a m e a s o n St a t e me n t o f O r g a n i z a t i o n )

CANDI DATE NAME ANDADDRESS TOWHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BE TRANSACTI ON) EXPENDEDEXPENDED ( i f a p p l i c a b l e ) ( D i s b u r s e me n t ) WAS MADE( MM/ DD/ YR) AND PACCHECKNUMBER

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