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Hospital Statement of Cost BHF Page 1Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763General InformationPreliminaryName of Hospital: Pas savant

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How to fill out 1600 w walnut st

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Start by writing the number '1600' in the first box labeled 'Street Number.'

02

In the next box, write 'W' for West in the 'Street Direction' field.

03

Write 'Walnut' in the 'Street Name' field.

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Finally, write 'St' for Street in the 'Street Type' box.

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