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V,F) Form CPF R1: Itemization of Reimbursements <br />Commonwealth Municipal Form <br />of Massachusetts <br />Office of Campaign and Political Finance <br />File with: <br />City or Town Clerk or Election Commission <br />2/15/2014 <br />Date of Reimbursement <br />Signed under the penalties of perjury: <br />Candidate's /Treasurer's signature (in ink) Date <br />Date Vendor Name and Address Amount Purpose <br />1/10/2014 Weebly.Com $79.35 Web <br />564 Pacific Ave <br />San Francisco, CA 941.33 <br />2/4/2014 Sterling Printing <br />214 Main St <br />Stoneham, MA 02180 <br />1/31/2014 Connolly Printing <br />17b Gill St <br />Woburn, MA 01801 <br />2/6/2014 Lexington Graphics <br />76 Bedford St <br />Lexington, MA 02420 <br />$228.12 Lawn Signs <br />$66.41 Wire Frames <br />$1,113.55 Printing <br />Hussong, Laura <br />M-4 <br />r�'i <br />E x' <br />Individual Being Reimbursed <br />—� <br />Norman Cohen for Selectman <br />Committee Name <br />�i ;;- <br />'O <br />-° <br />$1,487.43 <br />Amount of Reimbursement <br />2/10/2014 <br />N <br />Date of Reimbursement <br />Signed under the penalties of perjury: <br />Candidate's /Treasurer's signature (in ink) Date <br />Date Vendor Name and Address Amount Purpose <br />1/10/2014 Weebly.Com $79.35 Web <br />564 Pacific Ave <br />San Francisco, CA 941.33 <br />2/4/2014 Sterling Printing <br />214 Main St <br />Stoneham, MA 02180 <br />1/31/2014 Connolly Printing <br />17b Gill St <br />Woburn, MA 01801 <br />2/6/2014 Lexington Graphics <br />76 Bedford St <br />Lexington, MA 02420 <br />$228.12 Lawn Signs <br />$66.41 Wire Frames <br />$1,113.55 Printing <br />