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EFTA00227381_email_006
tory. Completion 0 f thts block consumesan itemized bill or instoce for reimbursement for thecosts incurred in providing the in formation requested. The DC IA Mandates the use of EFTDD. b order to recent payment complete the attached EFT enrollment Form ITEM 12 and 13 - Self-explanatory. SECTION C RECEIVING REPORT
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