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SECTION 1 PRODUCT INFORMATION Product Identifier: 16408 S/P URE IND BAR LAMB 'N BLUE E340 Product Use: Protective Coating Manufacturer's Name: General Paint Corp. Supplier's Name: General Paint Corp.

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To fill out icx by a-dec inc, follow these steps: 1. Gather all the necessary information, including the patient's name, address, and contact details. 2. Prepare the icx form provided by a-dec inc. 3. Start by filling out the patient's personal information, such as their full name, date of birth, and gender. 4. Move on to the insurance information section and provide the details of the patient's insurance coverage. 5. If applicable, include any relevant medication information, allergies, or pre-existing conditions. 6. Specify the treatment or procedure for which the icx form is being filled out. 7. Provide any other required information or additional notes as instructed by a-dec inc. 8. Double-check all the filled-out details for accuracy and completeness. 9. Once reviewed, sign and date the icx form. 10. Submit the completed icx form to a-dec inc as per their instructions.

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ICX by A-dec Inc is a form that must be filed by certain individuals or entities to report information to the Internal Revenue Service.

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