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FOR BHF USELL1
2012
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2012)I.DPH License ID Number:
Facility
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What is marys street?
Marys street is the name of a street in a specific location.
Who is required to file marys street?
Anyone who resides or owns property on Marys street may be required to file information.
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You can fill out Marys street information by providing details such as address, owner information, and any relevant details about the property.
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The purpose of Marys street may be to provide a means of identifying a specific location or property.
What information must be reported on marys street?
Information that must be reported on Marys street may include the property owner's name, address, and any relevant details about the property.
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