Fillable ach vendormiscellaneous payment enrollment form alc codes

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ACH Vendor/Miscellaneous Payment Enrollment Form CDC FMO REVISED 07/20/01 This form is used for Automated Clearing House (ACH) payments with an addendum record that contains payment-related information processed through the Vendor Express Program. PRIVACY ACT STATEMENT The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579). All information collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR 210. This information will be used by
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ach vendormiscellaneous payment enrollment form alc codes
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