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P:239.325.1880×F:239.261.0991UB04AND/ORINFORMATIONCONTAINEDONUB04RELEASE/AUTHORIZATIONFORM DATE: TO: I HEREBY REQUEST AND AUTHORIZE YOU TO FURNISH Lionbridge Solutions, LLC WITH A COPY OF THE UB04
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The term 'i hereby request and' refers to a formal request made by an individual or entity for a specific action or information.
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