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VOTE/COPE The undersigned authorizes the Rockland BONES school district to deduct from each of my (10) paychecks. (please circle one) $$$$$20.0010.005.002.50200.00 total $100.00 total $50.00 total
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Form undersigned authorizes form is a document that grants permission to someone else to take action on behalf of the individual signing the form.
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