Professional Documents
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Date
Determined
15 APR 2009
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CLAIM'-FOR ELECTION FUNDING
Electoral Act 1992
Must be lodged with the Commission by no later than 10 August 2009,
by post to GPO Box 1393 Brisbane 4001.
NOTE: This fonn must be for the total amount to be claimed
DETAILS OF PERSON MAKING CLAIM
Address for return of vouchers and cheque:
Business hours contacts: Phone.3...k'!.:Qf"'tt Fax ...................
DETAILS OF PARTY/CANDIDATE ON WHOSE BEHALF CLAIM IS MADE
DETAILS OF CLAIM
Amount of election funding claimed: $ .......