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PRINTED: 03/11/2014 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION

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Casey, IL 62420 is a city located in the state of Illinois, specifically in Clark County.

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Individuals and entities who engage in business activities or earn income within the city limits of Casey, IL may be required to file local tax returns or reports.

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Information such as income earned, business expenses, and other relevant financial data related to the activities conducted within Casey, IL must be reported.

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