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NOAA FORM 5612 (1192) 1. FROM: LAST NAME PREPARE IN TRIPLICATE FOR: 1. PAYROLL 2. DUTY STATION 3. OFFICERS COPY 3. SOCIAL SECURITY NO. 4. DATE U.S. Department of Commerce NATIONAL OCEANIC AND ATMOSPHERIC

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Prepare in triplicate is a form that needs to be filled out and submitted in three identical copies.

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