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CD Rom request14:18 '~305 4gg 8547 bIIA~II-DADE ELEC2 [~002 Date_ / Name of Cand;d~.te or PAC Oath On File ~ YES [~NO ~t~e ~equcst (available as of ~-13~6) ~ allo~ os] a~lable ~ 0f2-1aO6)  ' [ ~ Labels Zip Dbk *~ilable only ffiufo ~ uuder 100 mb ~ List ~ Zip Dbk *~ [ ~ Tap,' (~50 ~ ZipDi~k avMlablc only if info under 100 mb CD ROM (no s,,rt needed) Labels List Tape (6250 only) ZipDlsk available only il i.fo under 1110 mb At thc polls only (as of 3 42-96) Alnu,,tee only (aa of 3-1Z -96) -- CD ROlM (no sari needed) (a.~ of 3-12~6) List Tape (6250) not available if req is only abe or polls -- ZipDisk available iiinfn k underl00 mb ;¥flters Who voted in,, listed elections TOTAL (no so~t needed as u[3~12'96) Labels Ll~t ZtpDisk available only if iufo under 100 mb R~. sr~ ~iC;:ExT~C:T :: Alpha Democrats Only Republicans Only NI~.A Only Other' parties~ Male Only Female Only Age ~Blaek JlOU ~$panlc ~spanlc White nan ~spanlc Other Street City Zip Code Wam party Precinct · ~ CommLm~i,m ~-~ Communi~ Counci[_~ Subarea [~ Congre~llonal ~ ~oun~de ~ Executive Cemmi~ec~ ~ ~unlcipa~ity /'/-~ ~ew ~ ~ , ~ SchoolBoar~ ~ Sate ~ S~t~ Se~tc~ ::X'~T I vou~ 'ii'aT wt~ [~ACK1NOWLEDGEIVlEN"f: I hereby acknowledge that 1/,ave r~,iewed this order/btm. The informatioa listed above i: laood, Order Placed and ~mt Ordered ,5 7 ,,x_ . ~ . or.~, 0 D = Count per 1000 service charge total due picked up by. Date pinked up Paid ill tXtll~--~ YES [-~ NO