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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 />$2,006.64 <br />Amount of Reimbursement <br />2/24/2015 <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 <br />2/21/2015 Lexington Graphics <br />76 Bedford St <br />Lexington, MA 02420 <br />Amount <br />Purpose <br />$2,006.64 Mailing <br />� <br />' °K0 t.3l <br />9s .za ilz��( 5«2 <br />