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FOR OF USELL1 2002STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2002)I.DPH Facility ID Number: Facility Name:0008409II.CERTIFICATION

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Eunice C refers to a specific form or set of documentation required for compliance with certain regulations or tax reporting, typically associated with accounting and financial disclosures.

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Eunice C generally requires reporting of income, deductions, any applicable tax credits, and other relevant financial data specific to the entity or individual filing.

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