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86.12. 52.13 CRO-1310-2 - Disbursements (Contributions to Candidates/Political Committees)

52.12. CRO-1310-2 - Disbursements (Contributions to Candidates/Political Committees)

1 - Vendor Name

2 - Vendor Address

3 - Bank Account Code

4 - Form of Payment

5a - Purpose Code

5b - Comments

6 - Disbursement Date

7 - Disbursement Amount

8 - Required Remarks