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FOR BHF USELL1 2020STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2020) I.DPH License ID Number:
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Start by writing the current year, 20
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Then fill in the numerical representation of the month, which is 04 for April
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Finally, write the numerical representation of the day, which is 11 for the 11th day of the month
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