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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 />4/2/2015 <br />Date Vendor Name and Address <br />2/28/2015 United States Post Office <br />Massachusetts Ave <br />Lexington, MA 02420 <br />Amount Purpose <br />$78.40 Postage <br />G t. <br />Wong, Gwendolyn <br />Individual Being Reimbursed <br />Bill Hurley for School Committee <br />Committee Name <br />$78.40 <br />Amount of Reimbursement <br />2/28/2015 <br />Date of Reimbursement <br />Signed under the penalties of perjury: <br />is tete }4.6., , 4; �v <br />/ <br />f t (f S_ <br />Candidate's /Treasurer's signature (in <br />ink) <br />Date <br />Date Vendor Name and Address <br />2/28/2015 United States Post Office <br />Massachusetts Ave <br />Lexington, MA 02420 <br />Amount Purpose <br />$78.40 Postage <br />G t. <br />