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OMB APPROVAL NO[removed]EXPIRATION DATE:[removed]PERSONAL FINANCIAL STATEMENT As of ,
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Document Date: 2006-01-30 09:15:40


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City

Washington / D.C. / /

Company

Elite Federal Forms Inc. / Original Cost Present Market Value Name / Property Address Date / /

Country

United States / /

Event

M&A / /

IndustryTerm

insurance / /

Organization

office of Management and Budget / U.S. SMALL BUSINESS ADMINISTRATION / /

Person

Administrative Branch / /

/

Position

U.S. Attorney General / proprietor / Clearance Officer / Chief / /

ProvinceOrState

Missouri / /

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