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4770 S. 5600 W.WAS;r Valley CITY, UTAH 84118 FED.TAX I.D.× 870217663 8012046910PROOF OF PUBLICATIONDeseret News CUSTOMER IS COPY CUSTOMER NAME AND ADDRESSACCOUNT NUMBER I REQUEST FOR PROPOSALSPHASE
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Indicate the tax period and the date on which the form is filled out.
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