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CITY OF GERMANTOWN COG2016015 Medical & RX Stop Loss Bid ADDENDUM NO.1 The attached items on the above named Project will be updated and adjusted (if required) by this Addendum No. 1 to reflect the
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Cog2016-015 medical amp rx is a form used for reporting medical and pharmacy expenses.
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Information such as date of service, type of service, provider name, and amount of expense must be reported on cog2016-015 medical amp rx.
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