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FOR BHF USELL1 2019STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2019) I.DPH License ID Number: Facility
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Begin by writing the first name 'Curtis' in the space provided for first name on the form.
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Move on to the space designated for the last name and write 'O' next to 'Curtis'.
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Namecurtis o is a form used for reporting financial information to the government.
Individuals or entities with certain financial transactions or holdings may be required to file namecurtis o.
Namecurtis o can be filled out online or by mail, following the instructions provided by the relevant government agency.
The purpose of namecurtis o is to track and monitor financial transactions for compliance and regulatory purposes.
Namecurtis o requires information such as income, assets, and certain financial transactions to be reported.
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