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FOR OH FUSE LL1 2004 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2004) I. DPH Facility ID Number: Facility Name: 0041418

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Oak Grove Rehab Amp is a form used to report rehabilitation expenses related to oak trees.

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Property owners or managers who have incurred rehabilitation expenses for oak trees on their property are required to file Oak Grove Rehab Amp.

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