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|
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] | [
"TO:",
"FROM:",
"SUBJECT:",
"92039708",
"SUBMISSION",
"DATE",
"MAY",
"27",
"☐",
"JUN",
"24",
"☐",
"AUG",
"26",
"☐",
"OCT",
"07",
"☐",
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"27",
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|
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"530:",
"PAYROLL:",
"700",
"OTHER",
"(Date)",
"(Signature)",
"92314414",
"LOEWS/",
"LORILLARD",
"PUBLIC",
"AFFAIRS",
"COMMITTEE",
"CONTRIBUTION",
"IDENTITY",
"CARD",
"274-",
"38-",
"3042",
"ANDREW",
"TISCH",
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"A",
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"B",
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"A.",
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"until",
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"by",
"salary",
"deduction",
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"Affairs",
"Committee",
"(LOPAC)",
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"period:",
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"1.00",
"$",
"4.00",
"$",
"2.00",
"$20.00",
"(please",
"specify)",
"B.",
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"is",
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"check",
"or",
"money",
"order",
"in",
"the",
"amount",
"of",
"$",
"as",
"a",
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"to",
"LOPAC.",
"My",
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"is",
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"I",
"am",
"aware",
"of",
"my",
"right",
"to",
"refuse",
"to",
"contribute",
"without",
"reprisal",
"of",
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"of",
"the",
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"any",
"kind.",
"I",
"am",
"purpose",
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"I",
"am",
"aware",
"that",
"a",
"copy",
"of",
"the",
"report",
"of",
"LOPAC",
"is",
"filed",
"with",
"available",
"the",
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"Commission",
"and",
"is",
"for",
"purchase.",
"I",
"am",
"aware",
"that",
"the",
"guidelines",
"above",
"as",
"to",
"the",
"amount",
"of",
"my",
"contribution",
"are",
"only",
"suggestions.",
"am",
"aware",
"that",
"my",
"contribution",
"American",
"counts",
"against",
"my",
"individual",
"contribution",
"limit.",
"I",
"am",
"an",
"citizen",
"or",
"I",
"have",
"been",
"admitted",
"to",
"permanent",
"U.",
"S.",
"residence.",
"THE",
"FOLLOWING",
"INFORMATION",
"MUST",
"BE",
"FURNISHED:",
"1.",
"Full",
"Name",
"2.",
"Residence",
"Address",
"3.",
"Business",
"Address",
"4.",
"Occupation",
"Andrew",
"H.",
"Tisch",
"(Print",
"or",
"type)",
"26",
"East",
"63rd",
"Street,",
"New",
"York,",
"N.",
"Y.",
"10021",
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"code)",
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"N.",
"Y.",
"10016",
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"-",
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"Tobacco",
"Company",
"(Job",
"title",
"or",
"position)",
"1",
"November",
"1991",
"Return",
"this",
"form",
"in",
"the",
"envelope",
"provided."
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