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Hospital Statement of Cost BHF Page 1Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763General InformationPreliminaryName of Hospital: Baptist Health

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1. Start by gathering all the necessary information such as the property owner's name, address, and contact details.
2. Download or obtain a copy of the 2501 Kentucky Avenue form.
3. Fill out the form using a pen or typewriter. Make sure to write legibly and provide accurate information.
4. Begin by entering the property owner's details in the designated fields, including their name, address, and contact information.
5. Fill out the additional sections of the form, such as any required property description or special instructions.
6. Double-check all the information entered to ensure it is correct and complete.
7. Once you have verified the accuracy of the filled-out form, sign and date it in the appropriate spaces.
8. Make a copy of the filled-out form for your records.
9. Submit the completed form to the relevant entity or agency as instructed.
10. Keep a copy of the submitted form and any corresponding documentation for future reference.

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1. 2501 Kentucky Avenue may be needed by individuals or organizations who require information or documentation related to the property located at that specific address.
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