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FOR OF USELL1 2004STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2004) I.DPH Facility ID Number: Facility Name:0024836II.CERTIFICATION
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Heritage fifty-three refers to a form or document related to heritage reporting or documentation.
Individuals or organizations with heritage assets or properties may be required to file heritage fifty-three.
To fill out heritage fifty-three, one must provide detailed information about the heritage assets or properties being reported.
The purpose of heritage fifty-three is to document and preserve information about heritage assets or properties for future reference.
Information such as location, description, history, and significance of the heritage asset or property must be reported on heritage fifty-three.
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