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CITY OF Medical Note THIS DOCUMENT IS NOT A PUBLIC RECORD. NO PUBLIC INSPECTION OR DUPLICATION IS AUTHORIZED. Customer Information Use this form to add a medical notation to your utility account.
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What is this document is not?
This document is not a legal contract or agreement.
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This document is not required to be filed by individuals or businesses.
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This document is not required to be filled out by anyone.
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The purpose of this document is not specified.
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