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DOC1024 (Rev. 02/2009)DIVISION OF ADULT
INSTITUTIONS
POLICY AND
PROCEDURES DAI Policy #: 500.30.70-Page 1 of 4
Original Effective Date: New Effective Date:
05/12/14
04/01/17
Supersedes: 500.30.70
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5003070 page 1 is a form used for reporting specific financial information.
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