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United States Department of Agriculture / American Farm Bureau Federation / Delaware / Lackawanna and Western Railroad / Saline County / Missouri


MISSISSIPPI FARM BUREAU® FEDERATION MEMBERSHIP DUES/PIC AUTHORIZATION FORM I (we) hereby authorize Mississippi Farm Bureau® Federation (“THE FEDERATION”) to initiate entries to my (our) checking/savings account at
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Document Date: 2013-06-11 09:05:58

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File Size: 119,65 KB

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City

Jackson / /

Currency

USD / /

Organization

MISSISSIPPI FARM BUREAU / Federation Balloted Measure Political Issue Committee / _________________________________________________________________County Farm Bureau / Mississippi Farm Bureau Federation Balloted Measure Political Issue Committee / FINANCIAL INSTITUTION / /

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ProvinceOrState

Mississippi / /

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