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67th Annual1st Prize Surface Book2nd Prize 55 TV3rd Prize Apple Drawing September 5, 2016, Winner Need Not Be Present Please return this form with your form of payment to:Name:Phone:Billing Address:Email:City:

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55 tv is a form used for reporting certain financial transactions to the government.

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55 tv requires reporting of detailed information about the financial transactions, including amounts, dates, and parties involved.

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