Form Ds-De 94 - Campaign Treasurer'S Report Form - Fund Transfers

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CAMPAIGN TREASURER’S REPORT – FUND TRANSFERS
(1) Name ______________________________________________________
(2) I.D. Number _____________________
(3) Cover Period ______/______/______ through ______/______/______
(4) Page _____________ of ____________
(7)
(8)
(9)
(10)
(11)
(5)
Date
Name of Financial
Institution
(6)
Street Address &
Transfer
Nature of
Sequence
City, State, Zip Code
Type
Account
Amount
Number
Amendment
DS-DE 94 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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