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Elect Lewis Davis County Commissioner
306 S. Lewis St.
LaGrange, GA 30240

Your Contact Information:

Name _____________________________________________________________
Address _____________________________________________________________
City ________________________________  State _______   Zip ___________
Phone ________________________________
Email _____________________________________________________________
Employer _____________________________________________________________
Employer Address (please include city, state and zip code) _____________________________________________________________
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Enclosed is a check for $___________ made payable to Elect Lewis Davis County Commissioner

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Contribution Code: LewisDavis.org

Georgia election law requires Lewis Davis County Commissioner committee to use our best efforts to collect and report the name, mailing address, occupation, and name of employer for each individual whose contributions aggregate in excess of $100 in an election cycle.

Paid for by Committee to Elect Lewis Davis County Commissioner -  www.LewisDavis.org