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401 N. Young St., Kennewick, WA 99336 COLUMBIA CFC FIRST MIDDLE INITIAL WORK ADDRESS & ZIP CODE CHECK (if applicable) I Civilian I Military FEDERAL AGENCY AND OFFICE AMOUNT INTERVAL MILITARY PAYROLL
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2016 2015 CFC ies Undesignated OPM SSN Kennewick federated authorizes noncompliance furnishing applicable taxing deducted CONTRIBUTOR allotment BALLPOINT designate payable disclosed pledges INTERVAL furnish disclosure deduct expires OPTIONAL charities rev

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