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STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES CERTIFICATE OF CHILD HEALTH EXAMINATION Please Print Student s Name Birth Date Last Address First Street Middle City Sex School Grade Level /ID# Month/Day/
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How to fill out address street city zip:

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Start by writing your street address, which includes the name and number of the location where you reside. For example, if you live at 123 Main Street, write "123 Main Street" in this section.
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Next, you need to fill in the name of your city or town. This is the locality where your address is located. For instance, if you live in New York City, write "New York City" in the city section.
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After filling in the city, provide the zip code associated with your address. This is a numerical code that helps to identify your particular location within a specific postal area. For example, if your zip code is 10001, write "10001" in the zip code section.

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Overall, anyone who needs to send mail, receive packages, or locate a particular address would require the information of street, city, and zip code.
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The address street city zip is the specific location of a property identified by the street name, city name, and postal code.
Individuals, businesses, and organizations are required to provide their address street city zip as part of their contact information.
To fill out the address street city zip, you simply need to enter the street name, city name, and postal code in the respective fields.
The purpose of the address street city zip is to accurately identify the location of a property or individual for communication and mail delivery purposes.
The address street city zip must include the complete street name, city name, and postal code to ensure accurate delivery of correspondence.
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