Print out this form and sent it with your contribution. Thanks.
Samuel Jay
Smucker – Democrat for Champaign County Board District 8
Name:_____________________________________________________
Address:
City
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$25 $50
Other:_______
You can make checks payable to:
"Smucker for County Board"
Send them to:
Smucker for County Board
412 W. Washington
Urbana, Il 61801
A copy of our report filed with the County Clerk is (or will be) available for purchase from the Champaign County Clerk, Brookens Center, 1776 Washington Ave., Urbana, Il 61801.
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