Illinois
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NAME OF CONTRIBUTOR CHARLES ERICSON MR. ELLIOT YUDENFRIEND DAVID DAHL MR. ROBERT BRUNNER
CITY BLOOMINGTON METAMORA POLO URBANA
STATE IL IL IL IL
ZIP 61704 61548-7804 61064 61802-9502
EMPLOYER CHARLES N. ERICKSON LAW OFFICE SELF- ELLIOT YUDENFRIEND DAHL MANAGEMENT GROUP, LTD FAMILY DOCTOR
OCCUPATION ATTORNEY SALES CONSULTANT ROBERT W BRUNNER M.D.
AMOUNT DATE $110 10/1/2008 $100 10/9/2008 $50 10/16/2008 $100 10/18/2008
State Total
$360
!
" #$ %
&
CITY BLOOMINGTON METAMORA POLO URBANA
STATE IL IL IL IL
ZIP 61704 61548-7804 61064 61802-9502
EMPLOYER CHARLES N. ERICKSON LAW OFFICE SELF- ELLIOT YUDENFRIEND DAHL MANAGEMENT GROUP, LTD FAMILY DOCTOR
OCCUPATION ATTORNEY SALES CONSULTANT ROBERT W BRUNNER M.D.
AMOUNT DATE $110 10/1/2008 $100 10/9/2008 $50 10/16/2008 $100 10/18/2008
State Total
$360
!
" #$ %
&
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