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am (check one or the 1011Ovong) United States (Allen ff A wok until / I alien authorized to (Alie
re Physician (PCP) ID Number: PCP Name: (If an coistais patient of PCP, check "Yes".) O Yes O yes 0 Yes O Yes Check all that apply: O Domestic Penner O Full-time Student O Young Adult O Full4ime Student O Young Adult Prior Carrier Carrier: (List coverage prior to this.) Poky Number: From D
eassess for longer term. We would appreciate yrwir thoughts on the above, Regards Dean & Mary-Ann EFTA00265211 SCoe,ING sPe-cini-ISIS .9c,c9 * Allen EwartGal:\ f i2tz4 1/ :9/09 '* he-Specialist Medical Centre Proposal * Dear Dr Gale , Miss I would like to take this opportunity to introduce
nne Saffin Chief Executive Officer "t tndLL@O r An Australian Government Initiative M Imam,. el Government of South Australia local Government Penner, Owe 8, Gibed Valk,' Count: I Donk. C04.11Xil of tarUnta %WA Intuit, Count., of Mown Rernntatflo I Nofflomn Area Council Disukt Council of Pain ts
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DEDUCTIBLE EXPENSES 27,762. STATEMENT 9 MUNI31A00 R66297 1608 43 EFTA00806447 Schedule K-1, Item L - Analysis of Partners Capital Accounts Penner Number A. Capital Account at Beginning of Year B.Capnideomnbuted During Year aPannetWSInamsolSch. M•2, Unes3,4,and7 D.WithdrawalsalW Distrib
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