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11/21/23Carrie Matches, Procurement Manager 1.23.202311/2/228/3/2022AMENDMENT NO. 2 CONTRACT NO. Y191138MV, EMERGENCY AND TEMPORARY HEATING, VENTILATION, AND AIR CONDITIONING (HVAC) EQUIPMENT RENTAL
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It is a form used to report emergency and temporary medical expenses.
Individuals who incurred emergency or temporary medical expenses.
The form must be completed with details of the emergency or temporary medical expenses incurred.
The purpose is to document and report emergency and temporary medical expenses for reimbursement or tax purposes.
Details of the medical expenses, including dates, amounts, and reasons for the emergency or temporary nature.
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