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File with: <br />City Or Town Clerk or glection Commission <br />2/17/2012 <br />Date Vendor Name and Address Amount Purpose <br />C 7, <br />Counts-Klebe, Margaret <br />Individual Being Reimbursed <br />Jessie <br />Steigerwald for School Committee <br />Committee Name <br />$207.19 <br />Amount of Reimbursement <br />1/20/2012 <br />Date of Reimbursement <br />— — --- ------- <br />Signed under the penalties of perjury: <br />7 Ll <br />Candidate's /Treasurer's signature <br />(in ink) Date <br />Date Vendor Name and Address Amount Purpose <br />C 7, <br />