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See instructions on reverse of VS Form 1-23, Part 5
ICR 202107-0579-002 · OMB 0579-0440 · Object 113194001.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | See instructions on reverse of VS Form 1-23, Part 5 |
| Author | Khbrown |
| Last Modified By | Acrobat PDFMaker 10.1 for Word |
| File Modified | 2021-07-14 |
| File Created | 2012-12-12 |
| Conversion State | complete |