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2015 Annual Hospital Questionnaire
Part A : General Information
1. Identification:HOSP407Facility Name: Elbert Memorial Hospital
County: Elbert
Street Address: 4 Medical Dr
City: Elbert on
Zip: 306351830
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Fast Fuels Elbert is a form used to report fuel sales and usage.
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Any business or individual that sells or uses fuel is required to file Fast Fuels Elbert.
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Information such as fuel type, quantity sold or used, and other relevant details must be reported on Fast Fuels Elbert.
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