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Commonwealth <br />of Massachusetts <br />Form CPF R1: Itemization of Reimbursements <br />Municipal Form <br />Office of Campaign and Political Finance <br />File with: <br />City or Town Clerk or Election Commission <br />3/24/2015 <br />Diaz, Thomas <br />Individual Being Reimbursed <br />Tom Diaz for School Committee <br />Committee Name <br />$15.94 <br />Amount of Reimbursement <br />3/23/2015 <br />Date of Reimbursement <br />Signed under the penalties of perjury:;, <br />Candidate's /Treasurer's signature (in ink) <br />Date Vendor Name and Address Amount Purpose <br />3/4/2015 Constant Contact <br />1601 Trapelo Rd <br />Waltham, MA 02451 <br />gy ;d <br />rC W 'tZ <br />0 <br />Date <br />$15.94 Email Marketing <br />