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STATE OF MICHIGAN DEPARTMENT OF CONSUMER AND INDUSTRY SERVICES BUREAU OF HEARINGS In the matter of Docket No. 2001469 Michael D. Mack, RN, Petitioner v Bureau of Health Services, Respondent Agency
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2001469 michael d is a form used for reporting certain types of income, such as dividends and capital gains.
Individuals who received income that needs to be reported on the form are required to file 2001469 michael d.
The form should be filled out with accurate information regarding the income received and any associated taxes.
The purpose of the form is to report certain types of income to the IRS for tax purposes.
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