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TAXFREEDAYFORM Nameofcampus: Amerigroup: Itemsdesignatedfortaxfreesales: Taxfreeday(deliveryordistributiondate): Taxfreedaynumber: 1 2 (circle one) Group/ClubSponsorSignature PrincipalSignature PertheAdministrativeRegulationforFinanceSalesTaxTaxFreeSales:
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