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NHJB-2422-DS (11/25/2013). Page 1 of 5 .... I hereby acknowledge receipt of the above order and the penalties' notification on pages 4 & 5 of this form. Date.
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How to fill out "I hereby acknowledge receipt":

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Begin by entering your full name and contact information in the designated fields.
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I hereby acknowledge receipt is a document signed to confirm that a person has received a specific item or information.
Anyone who receives a document or item and needs to acknowledge its receipt may be required to file i hereby acknowledge receipt.
To fill out i hereby acknowledge receipt, one must typically include their name, date, signature, and any other relevant information requested.
The purpose of i hereby acknowledge receipt is to provide a written record that a person has received a specific item or information.
The information that must be reported on i hereby acknowledge receipt typically includes the name of the recipient, the date of receipt, and any other relevant details about the item or information.
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