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"UNITED STATES HOUSE OF REPRESENTATIVES ae ‘orm or usa by Members. offers, and employees = For 2007 Calendar Year Reporting Period fee ennerene eer DEL. 7D ‘A $200 penalty sig be assessed ‘against anyone who files more than jie evening peroo? Yes P<] o[_] Yes Take a donation te chariy w re siren Yoel) wo BSS] ves] no] Tid you, your spouse, or a dependent child receive “unearned You hold any reportable positions on or before the date income of ore tron $200 nthe reporing ped or old ary iho curtent caer year?

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