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2012 Close to Our Hearts Gala Ticket Order Form PURCHASERS NAME: First Last OFFICE USE ONLY Date Received Company Receipt # Payment Date Table # ADDRESS: Ticket #s Street Address Date Mailed City
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b2012b is a specific form used for reporting financial information related to investments close to ours.
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Information such as the type of investment, value, and any income generated must be reported on b2012b.
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