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I DA H 0DEPARTMENTOFHEALTH WELFARE BRAD LITTLE Governor DAVE REPRESENT DirectorRECEIVED MAY 16, 2019, May 9, 2019TAMARA PRISOCKADMINISTRATOR DIVISION OF LICENSING & CERTIFICATION DEBBY RANSOM, R.N.,
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Wendy Binegar Administrator is a form used for reporting financial information.
Any individual or entity that has been designated as the administrator of a particular financial account.
The form can be filled out either manually or electronically, following the instructions provided by the relevant financial institution.
The purpose of the form is to provide detailed financial information about a specific account or accounts.
Information such as account balances, transactions, and any relevant updates or changes.
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