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FOR I NSTRUCTI ONS. SEE BACKOF FORMDI SCL OSURE SUMMARY PAGECOMMI TT EE NAME ( Mu s t b e s ame a s on S t a t emen t of Or g a n i z a t i o n)Go r a n s o n f o r S t a t e R e p r e s e n t a t i v eI MPORTANT : I n d i c a t e b y # t y p e o f c o mm l l t e o y o u e r a r e p o s i n g f o r -.( 1 A t a t e w i d e / L e g Wa t t - e u u d g e S t a n d i n g f o r R e t e n t i o n C a n d i d a t e ( 2 ) S t a l e PAC ( 3 ) S t a t e P a r t y( 4 ) C o u n t y C e n t r a l Co mmi t t e e ( 5 ) C o u n t y C a n d i d a t e ( 6 ) C i t y C a n d i d a t e ( 7 ) S c h o o l B o a r d o r O t h e rP o l i t i c a l S u b d i v i s i o n C a n d i d a t e ( 8 ) C o u n t y PAC ( 9 ) C i t y PAC ( 1 0 ) S c h o o l B o a r d o r O t h e r P o l i t i c a lS u b d i v i s i o n PAC ( 1 1 ) L o c a l BaCANDI DATE COMMI TT EE~NL "' r : ~ ' ~ ; " _ 'Ca nd i d a t e NameE r i c A l l e n Gomns onO f f i c e So ug h tS t a t e R e p r e s e n t a t i v e

I AM F I L I NG A Oc t o b e r 1 4 , 2 0 0 4( r e p o r t d a t e )

[ I GHECK I F AMENDMENT TO REPORT DATED~] C h e c k i f t h i s i s f i n a l ( t e r mi n a t i o n ) r e p o r t a nd a t t a c h N o t i c e o f D i s s o l u t i o n F o r m OR- 3 .( Yo u mu s t c o n t i n u e t o f i l e r e p o r t s u n t i l a DR- 3 i s f i l e d . )

P100 ^ M

SI GNATURE OF PERSON F I L I NG REPORT TELEPHONE DATE SI GNED

REPORT FOR ( 1 ) ELECTI ON / ( 2 ) NON- E L ECT I ON YEAR .I n d i c a t e b y 0

STATEMENTOFCASHONHANDCASH ON HAND a t t h e b e gi n n i n g o f t h e r e p o r t i n g p e r i o d . ( T o t a l o f a l l f u n d s h e l d b y t h ec ommi t t e e . T hi s amou nt MUST b e t h e s ame a s t h e c a s h on h a nd a t t h e e ndo f t h e l a s t r e p o r t i n g p e r i o d o r mu s t b e z e r o i f t h i s i s f i r s t r e p o r t f i l e d . ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

ADD TOTAL MONEY TAKEN I N T HI S PERI ODSc h e du l e A : C a s h C o n t r i b u t i o n s t o t a l ( A t t a c h Sc h e d u l e A) ( ' a l s o s e e i n - k i n d b e l o w) . . . . . . . . . .Sc h e du l e F : L o a n s Re c e i v e d t o t a l ( A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sc h e du l e H T o t a l Sa l e s o f Campa i g n P r o p e r t y ( A t t a c h Sc h e du l e H) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

( S ah e0 t e H aPpb& t o C a n d k s ' C o r n t n I I t t w s On l y )

CASH ON HAND a t t h e e nd o f t h i s r e p o r t i n g p e r i o d ( i f f i n a l r e p o r t b a l a nc e mu s tb e z e r o A t t a c h DRS 2 4 1 . 5 5" UNPAI D BI L L S ( F r om Sc h ed u l e D - A t t a c h Sc h e d u l e t ) ) . . . . . . . . . . . . . _ _ . . . . . . . . . . . . . . . _ . _ . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S 0' I N KI ND CONTRI BUTI ONS ( F r om Sc h e d u l e E - A t t a c h Sc h e d u l e E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . $ 0" OUTSTANDI NG LOANS ( F r om Sc h e d u l e F - A t t a c h Sc h e d u l e F ) . . . . . . . . . . . . _ . _ . _ . . . . . . . . . . . . . . . _ . _ . . . . . . . . . . _ , . . . . 5 0CANQI QATE COMMI TTEES ONLY :CONSULTANT BREAKDOWN ( Sc h ed u l e G A t t a c h e d? )VALUE OF CAMPAI GN PROPERTY ( F r o m Sc h e du l e H - A t t a c h Sc h e d u l e H) $ 0

FORMDR- 2 DI SCLOSURE( Re v . 0 7 / 2 0 0 4) REPORTF a r O f f i c e Us e onbComm. #L o g g e d I nS cannedCompu t e rA u d i t e d

L a t e r e p or t s a r e s u b j e c t t op os s i b l e c i v i l a n d c r i mi n a lp ena l t i e s .

L o c a l Co mmi t t e e s . e n t e r D a t e o f F J e c t i o nCo u n t y & L o c a l C o mm i t t e e s . e n t e r C o u n t y I nw h i c h E l e c t i o n i s h e l d

1 5 7 7 . 3 2

1 . 3 2 7 . 0 00

SUB- TOTAL- 4$ 2 9 0 4 . 3 2SUBTRACT TOTAL MONEY SPENT THI S PERI ODSc h e du l e B : F a t p e n d i t u r e a t o t a l ( A t t a c h Sc h e du l e B ) ( " a l s o s e e d eb t s a nd l o a n s b e l o w) . . . . 2 6 6 2 . 7 7Sc h e du l e F : L o a n Re p a y me n t s t o t a l ( A t t a c h Sc h e du l e F ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . 0

7 1 YES ~ NO

NO . 169

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1 0/ 1 9 / 2 00 4 21 : 11 DAHLS MERLE HAY ~ 2 8 1 3 7 0 1 NO . 1 6 9F o r I n s t r u c t i o n s , Se e Ba c k o f F o r mCONTRI BUTI ONS - - MONEY TAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TT EEWOE( Mu s t b e s ame a s o n St a t emen t o f O r g a n i z a t i o n )G o r a n s o n f o r S t a t e R e p r e s e n t a t i v e

STATE CANDI DATES NOTE I F A CONTRI BUTI ON 1 9 REC E I V E D FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PAC I DE NT I F I CA TI ONNUMBER AND THE PAC CHECK NUMBER I N THt -- - DESI GNATED COLUMN . A L I S T OF I D NUMBERS I S A V AI L A B L E FROM THE I OWA ETHI C3 AND CAMPAI GNDI SCLOSURE BOARD,CAUTI ON : Se ct i o n 69B. 3 2 A ( 6 ) , I o wa Code , p r o h i b i t s t h e u s e o f I n f o r ma t i o n c o p l ed f r o m r e p o r t s and s t a t e me n t s f o r s o f i d l i n g c o n t r i b u t i o n s o rf o r a n y c omme r c i a l p u r p o s e b y a ny p er s o n o t h er t h an s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SUB- TOTAL $ 50 0TOTAL ( f f a s t page o f t h i s s c h ed u l e )

' D i s c l o s u r e l a w r e q u i r e s c a n dl d a t s c o mml dw s t o d i s c l o s e t h e M i a t l o n 8 h l p o f a n y r e l a t i v e MOKl ng a c o n t r i b u t i o n I o t h ec ommi t t e e . R e l a t i o n s h i p mus t b e s h o w n t o t h e t h i r d d e g r e e o f c o n s a n g u i n i t y ( b l o o d r e l a t i v e s ) a n d a f n h y ( r e l a t i v e s b y 1ma r r i a g e ) . Hs umame o f c o n t r i b u t o r i s t h e s ame a s c a n d i d a t e , b ut t h e r e I s n o Pa ge o ff a mi l i a l r e l a t i o n s h i p , e me r ' n o t a p p l i c a b l e ' I n t h e r e l a t i o n s h i p c o l u mn . ( f o r Sc h e d u l e A)

SCHEDULEA MONETARY( Re v . 0 7 / 0 3 ) RECE I PTS

CHECK T HI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME ANDADDRESS OF CONTRI BUTOR RELATI ONSHI P AM0UNT _ q I F FORRECE I V I =D ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI DDI YR) AND PACCHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOMEI D# J ames a n d D a r l e n e Bo n d .8 - 2 8 - 0 4 CK# 3 5 0 4 Ub a n d NA $ 5 0l e , I o wa 5 0 3 2 2 - 0 5 7 2I D t 1 C a p i t a l Kn ow l e d g e C o n s u l t i n g LLC Gi n a N o l l8 - 2 8 - 0 4 CK# P- 0 . Bo x 7 2 5 5 NA 1 0 01 0 7 5 Des Mo i n e s , I o wa 5 0 30 9I D# An d r e w C h r i s t e n s o n

8 - 2 8 - 0 4 CK# 5 3 0 0NW5 5 t h AVE NA 1 0 01 1 2 6 J o h n s t o n , I o wa 5 0 1 3 1I D# L a wr e n c e a n d C y n t h i a C o o p e r8 - 2 8 - 0 4 CK# 4 6 1 9 T wa r i a o NA 1 03 6 3 3 Dee Mo i n e s , I o wa 5 0 3 1 0 - 2 9 7 1I D # D e n n i s a n d G r e t c h e n J a c o b s

8 - 2 8 - 0 4 CK# 7 9 0 6NW1 0 3 r d L a n e NA 1 0 01 0 3 8 5 Gr i mc s , I o wa 5 0 1 1 . 1I N Way n e a n d . G l o r i a J o h n s o n

8 - 2 8 - 0 4 CK# 3 6 6 7 3 Hi g h w a y 6 9 NA 5 01 5 8 1 0 F o r e s t C i t y , I o wa 5 0 4 3 6I D # Dean a n d P e g g y Le mk e

8 - 2 8 - 0 4 CK# 3900 Me r l c e d NA 206 0 4 3 Des Mo i n e s , I o wa 5 0 3 . 1 0I D # No r man l 3 . Meyer

8 - 2 8 - 0 4 CK# 4 0 4 4 4 2 n d S t _ NA 2 0 El9 8 2 Des Mo i n e s , I o wa 5 0 3 1 0 - 2 8 1 61D# Da v i d . G. o r Ma r y L . N a d l e r

8 - 2 8 - 0 4 CK# N6916 5 3 8 t h . S t . NA 2 51 8 2 7 Me n o i n o n i e , Wi s c o n s i n 5 4 7 51I D # Th o r n s G_ an d J a n i c e L . Ramt h u m

8 - 2 8 - 0 4 CK# 1 0 1 S 9 t h . Av eW NA 2 53 0 8 3 La ke M i l l s , I o wa 5 04 5 0

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Fo r I n s t r u c t i o n s , Se e Ba c k o f F o r mCONTRI OU11 ONS - - MONEY TAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TT EE NAME ( M u s t b e s ame a s o n S t a t e me n t o f O r g a n i z a t i o n )G o r a n s o n f o r S t a t e R e p r e s e n t a t i v e

r M7 = t i - r " , _ f

STATE CANDI DATES NOTE I F A CONTRI BUTI ON I S RECEI VEDFROM A STATE PAC ( POL I T I CAL ACTI ON COMMI TTEE) , L I S T THE PAC I DENT I F I C AT I ONNUMBER ANO THE PACCHECK NUMBER I N THE DESI GNATEDCOLUMN. A L I ST OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS AND CAMPAI GNDI SCLOSURE BOARD .

CAUTI ON : S e c t i o n 6 8B . 3 2 A ( 6 ) , I o w a C o d e , p r o h i b i t s t h e u s e o f I n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i b u t i o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t u t o r y p o l i t i c a l c o mmi t t e e s .

SUB- TOTAL $ 7 0 2TOTAL . ( I f t e s t p a g e o f t h i s s c h e d u l e )

D i s d o s r a e l a w r e q u i m a c a n d i d a t e c o m m i t t e e s t o d i s c l o s e L i c e r e l a t l o n a h l p o f a n y r e l a t i v e ma k i n g a c o n t r i b u t i o n t o t h eC OMM( t f e e . R e l a t i o n s h i p m u s t b e s h o w n t o t h e t h i r d d o g r o o o f c o n s a n g u i n i t y ( b l o o d r a l a t k a s ) a n d a r t t n l l y ( r e l a t i v e s b y 2m a r r i a g e ) I f o u r r i a m e o f c o n t r i b u t o r i s t h e s am e a s c a n d i d a t e , b u t t h e r e i s n o P a g e o f -f a mi l i a l r a l a f l n r i s h l p , e n t e r ' n o t a p p l i c a b l e ' I n t h e r e l a t i o n s h i p c o l u mn . ( f o r S c h e d u l e A )

SCHEDULEA MONETARY( R e v . 0 7 / 0 3 ) RECEI P T SCHECK T H I S BOX I FAMENDI NG FORM

DATE PAC 1 0 NUMBER NAME AND ADDRESS OF CONTRI BUTOR R EL A T I ON SH I P AMOUNT . 1 I F FORRECEI VED ( I f a p p i l c a b l e ) TO CAND I DATE ' RECEI VED FUND-( MMI D D I Y R ) AND PACCHECK ( i f a p p l i c a b l e ) R A I $ F - RNUMBER I NCOMEI D O D e s i r e eMS e h o o l e r8 - 2 8 - 0 4 1 5 1 6 SE E v e r g n e e n No B - 8 NA $ 25CK# 4 2 7 9 Des Mo i n e s , I o w a 5 0 3 2 0I D # J e r r y S t a n t o n

8 - 2 8 - 0 4 CK# 1 1 1 2 9 NWAv e S t e . A NA 2002710 G r i mo s , I o wa 5 0 1 1 1I D * S c o t t a n d I n e z S c h w a g e r

8 - 2 8 - 0 4 CK# 7 6 5 0 NE 1 0 8 t h P I NA 2 04 1 . 1 6 B o n d u r a n t , I o wa 5 0 0 3 5I D # Wan da B r e d e s o n

8 - 2 8 - 0 4 CK# e50 4 3 6 NA2 0

Cash F o r e s t i t y , I o waI D s D e n n i s a n d C h e r y l J u d d

9 - 2 2 - 0 4 CK# 4 5 0 9 6 7 t h S t r e e t NA 1 0 01 1 1 1 U r b a n d a l e , I o wa 5 0 3 2 21 Q # L i n d a Mi t c h e l l

9 - 2 2 - 0 4 C K t ! 7 1 1 7 T e n a c i t y L a n e NA 200 F 7 12 4 9 9 J o h n s t o n , I o wa 5 0 1 3 1I D # R i c h a r dWo r Nancy L S mi t h

9 - 2 2 - 0 4 CK# 3 5 0 1 A u r o r a Av e NA 2 01 1 1 1 9 Des Mo i n e s , T A 5 0 3 1 0 - 4 8 2 8I D # T i m a n d T r ma K e l l y

9 - 2 2 - 0 4 CK# 1 7 1 2 4 1 s t S t NA 1 7C a s h Des Mo i n e s , I o wa 5 0 31 0I D # P a t r i c k o r E i l e e n Da h l e n

9 - 2 2 - 0 4 CK# 8 0 1 1 N o r t h v i s w D r i v e Dad 5 04648 U r b a n d a l e , I o wa 50 3 2 2I l l # R a c h e l G o T a n s o n

9 - 2 2 - 0 4 CK# 3 9 0 1 Shawnee Avenue Wi f e 5 01 3 0 4 Des Mo i n e s , T A $0 3 1 0

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F o r I n s t r u c t i o n s , Sa e B a c k o f F o r mCONTRI BUTI ONS - MONEY TAKEN I N

( I n c l u d i n g c a n d i d a t e ' s p e r s o n a l f u n d s )COMMI TTEE NAME ( Mu s t b e sa me a s o n S t a t e me n t o f Or g a n i z a t i o n )G o r n n s o n f o r S t a t e R e p r e s e n t a t i v e

STATECANDI RAM NOTE , I F ACONTRI BUT I ON I S RECEI VED FROM A STATE PAC ( P OL I T I C A L ACT I ON COMMI TTEE) , L I S T THE PAC I DENT I F I CATI ONNUMBER AND THEPACCHECK NUMBER I N THE DESI GNATED COLUMN, A L I S T OF I D NUMBERS I S AVA I LABLE FROM THE I OWA ETHI CS ANDCAMr ' A I GNDI SCLOSURE BOARD .CAUTI ON : S e c t i o n 8 8 B . 3 2 A ( 6 ) , I o w a Code , p r o h i b i t s t h e u s e o f I n f o r ma t i o n c o p i e d f r o m r e p o r t s a n d s t a t e m e n t s f o r s o l i c i t i n g c o n t r i . b u t l o n s o rf o r a n y c o mme r c i a l p u r p o s e b y a n y p e r s o n o t h e r t h a n s t a t m o r y p o l i t i c a l c o mmi t t e e s .

SUB- TOTAL

TOTAL ( I f l e s t p e g s o f t h i s s c h e d ul e )D l e g o s u r e l a w r e q u i r e s c a n d i d a t e c o mmi t t e e s t o d l e c l m e t h e e l a t i o n s h i p o f a n y r e l a t i v e m a k i n g e c o n t r i b u t i o n t o t h ec o mm i t t e e . R e l s t l o n a h l p m u s t b e s h o w n t o t h e t h i r d a e g r e e o f c o n e a n g u l n l t y ( b l o o d r e l a t i v e s ) a n d a f f i n i t y ( r e l a t i v e s b y 3 3m a r n e g o ) . r f su r n ame o f c o n t r i b u t o r i e t h e eeme a s c a n d i d a t e , b u t t h e r e I s n o Pa ge _ _ _ o f -

f a m i l i a l r e l a t i o n s h i p , e n t e r ' n o t a p p l i c a b l e ' i n I n a r e l a t i o n s h i p c o l u m n . ( f o r S c h e d u l e A )

SCHEDULEA MONETARY( R e v . 0 7 l 0 3 ) RECEI PTSCHECKTHI S BOX I FAMENDI NG FORM

DATE PAC I D NUMBER NAME AND ADDRESS OF CONTRI BUTOR RELATI ONS141P AMOUNT J I F F ORRECEI VED ( i f a p p l i c a b l e ) TO CANDI DATE' RECEI VED FUND-( MMI ) D/ YR) AND PAC CHECK ( i f a p p l i c a b l e ) RAI SERNUMBER I NCOME

I D# Da v i d J I . a n d . K a t h e r y n A. N a d l e rg - 2 2 - 0 4 5 5 1 7 S h e r i d a n . A v e B r o t h e r - i n - l a w $ 5 0C I t ~ 3 1 3161 Des Mo i n e s , T o w n 5 0 3 1 0I D # Da v i d a n d B u ma d e t t e N a d l e r

9 - Z 2 - 0 4 CK# 3 3 1 5 3 3 5 t h S t r e e t P a r e n t - i n - l a w s 5 07 2 2 8 Wau k ee, I o wa . 5 0 2 6 3I D # Da v i d a n d B u r n a d e t t e N a d l e r

g - 2 2 - 0 4 CK# 3 3 1 . 5 3 3 5t h S t r e e t P a r e n t - i n - l a w s 2 57 2 4 1 Wau k ee, I o w a 5 0263I O i lCK#I D #CK#I D #CK# E lI D#CK#

I D#CK#

I D#CK# L j1 0 4CK#

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T HI S BOX A PP L I E S TO CANDI DATES ' COMMI TTEES ONLY ,P ur c h a s e s o f c e r t a i n c a mp a i g n p r o p e r t y c o s t i n g $ 5 0 0 o r mo r e mu s t a l s o b e I n v e n t o r i e d o n Sc h e d ul e H . ( R e f e r t o S c he d u l e H i n a t r u c t l o r t s . )Ex p e nd i t u r e s t o p e r s o n s l e n l l l l e s p r o v i d i n g c o n s u l t i n g , a d v e r t i s i n g , f u n d - r a i s i n g , p o l l i n g , ma n a g i n g . o r g a n i z i n g s e r v i c e s mu s t a l s o b e d e t a i l i t e mi z e d o nSc h e d ul e Gb y t h e $mo u n t , p u r p o s e , a n d d at e o f e a c h t y p e o f e x pe nd i t u r e mad e b y i r i s p e r s o n f e n l i t y o n b e h a l f o f t h e c an d i d at e ' s c o mmi t t e e . ( R e f e r t oSc h e d ul e G I n s t r u L t I o n s a n d I o wa Co d e 6 8 AA 02 ( 3 ) ( i ) . )

P a g e 1 . r o f _ I

NO . 169

( ( a r S c h e d u l e B )

FORI NSTRUCTI ONS, S BACK OF FORM SCHEDULEEXPENDI TURES 1 3 MONETARY- - MONEY SPENT FROM COMMI TTEE ACCOUNT ( R ev , 0 71 0 3 ) EXPENDI TURES

STATEPAC COMMI TTEES ; NOTE: FORCONTRI BUT I ONS ( MADE TO STATEWI DEOR L E GI S L A TI V ECANDI DATES, L I S T THE CANDI DATE I DENT I F I CA TI ON NUMBER I N THE DES I GNATED COLUMN ANDTHE 0 CHECK THI S BOXI FPAC CHECKNUMBER FOREACH EXPEND I TURE . A L I S T of I D NUMBERS I S A VA I L A BL E FROMTHE I OWA AMENDI NGFORMETHI CS & CAMPAI GN DI SCLOSURE BOARD .COMMI TTEE NAME ( Mu s t b e s ame a s on S t a t e me n t o f Or g an i z a t i o n)Gomnson f o r S t a t e R e p r e s e n t a t i v e

CANDI DATE NAME ANDADDRESS TO WHOM PURPOSE AMOUNTDATE I D NUMBER EXPENDI TURE ( DESCRI BETRANSACTI ON) EXPENDEDEXPENDED ( i t a p p l i c a b l e ) ( D i s b u f a e me n f ) WAS MADE( MMI DDI YR) ANDPACCHECKNUMBER

I D# E a r l h a m S a v i n g s Hank S e r v i c e C h a r g e8 - ) 9 - 0 4 7 3 0 0 L a k e D r i v e 1 . 1 1CK# We s t Des Mo i n e s , I o wa . 5 0266

I D# V i c t o r y S t o r e . c om Y a r d S i g n s8 - 2 6 - 0 4 C0 i O0 6 1 3 0 5 . 3 1

I D# e a v e r d a . l e F a l l F e s t i v a l , I n c . D e a v e r d a l e P a r a d e E n v y F e e8 - 2 6 - 0 4 CK#1007 7 5 _ 0 0

I D# E r i c Gomnson T e l e p h o n e H i l l Re i mbu r s emen t9 - 2 1 - 0 4 CK#) 9 0 1 Shaw n ee A v en ue 1 1 6 . 6 70 0 S D e s Mo i n e s , I o w a 5 0 3 1 0

I D # E r i c G o r a n s o n P a r a d e S i g n s9 - 2 1 - 0 4 3 9 0 1 Shaw n ee A v e n u e 1 9 2 . 9 2CK# 1 0 0 8 Des Mo i n e s , I o wa 5 0 310

I D# r i c Go r a n s o n P a r a d e S u p p l i e s9 - 2 1 - 0 4 9 0 , 1 Shawnee A v en ue 7 1 . 7 6CK#1009 e s Mo i n e s , I o w a 5 0 310

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