New Hampshire
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NAME OF CONTRIBUTOR ELAINE DRISCOLL KEITH JORGENSEN
CITY AUBURN BEDFORD
STATE NH NH
ZIP
EMPLOYER 303 SELF-ELAINE DRISCOLL 311 K.D.JORGENSEN, M.D., PROF. ASSOC.
OCCUPATION TEACHER PHYSICIAN/SURGEON
AMOUNT $50 $250
State total
DATE 7/11/2008 6/6/2008
$300
!
" #$ %
&
CITY AUBURN BEDFORD
STATE NH NH
ZIP
EMPLOYER 303 SELF-ELAINE DRISCOLL 311 K.D.JORGENSEN, M.D., PROF. ASSOC.
OCCUPATION TEACHER PHYSICIAN/SURGEON
AMOUNT $50 $250
State total
DATE 7/11/2008 6/6/2008
$300
!
" #$ %
&
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