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Form 4669 (Rev. 12-2014)

ICR 202305-1545-025 · OMB 1545-0364 · Object 132082600.

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Document Metadata
File Typeapplication/octet-stream
File TitleForm 4669 (Rev. 12-2014)
SubjectStatement of Payments Received
AuthorSE:WI:CAS:AM:P:PA
File Modified2014-12-10
File Created2014-12-10
Conversion Statefailed_conversion