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Reconciliation of State Invoice and Prior Quarter Adjustment Statement (CMS-304A)
ICR 201107-0938-007 · OMB 0938-0676 · Object 26238201.
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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Reconciliation of State Invoice and Prior Quarter Adjustment Statement (CMS-304A) |
| Author | HCFA Software Control |
| Last Modified By | CMS |
| File Modified | 2009-04-30 |
| File Created | 2009-04-30 |
| Conversion State | partial |