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7! 3/ i; I.if.DATE (MMIDDIYYYY)CERTIFICATE OF LIABILITY INSURANCEACORD PRODUCERS that 'e Farm Insurance Lionel Malaya Agency547 N Abuse Ave I Lie# OG46852 West Covina, CA 9i7.ll I PH: 6266537700I0812212014

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Jm staffingpdf is a form used for reporting staffing information.

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On jm staffingpdf, information such as employee details, job positions, and hours worked must be reported.

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