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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      The aid codes in this chart are meant to assist providers in identifying the types of services for which Medi-Cal and public health program recipients are eligible. The chart includes only aid codes used to bill for services through the Medi-Cal claims processing system and for other non Medi-Cal programs that

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    • [PDF File]TC-843, Bill of Sale

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      Used vehicles are sold as accepted and are not guaranteed. This form does not represent documentary evidence of ownership unless accompanied by the outstanding certificate of title. TC-843 Bill of Sale Rev. 2/12 Division of Motor Vehicles · PO Box 30412, Salt Lake City, UT 84130 · Telephone 801-297-7780 or 1-800-368-8824 Get forms online ...

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    • [PDF File]Medicare’s Wheelchair & Scooter Benefit

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      Medicare’s Wheelchair & Scooter Benefit Revised November 2017 Medicare Part B (Medical Insurance) covers power-operated vehicles (scooters), walkers, and wheelchairs as …

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    • [PDF File]DMV VEHICLE BILL OF SALE

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      VEHICLE BILL OF SALE 735 - 501 (6-17) DEPARTMENT OF TRANSPORTATION DRIVER AND MOTOR VEHICLE SERVICES 1905 LANA AVE NE, SALEM OREGON 97314 DMV VEHICLE DESCRIPTION PLATE NUMBER YEAR MAKE VEHICLE IDENTIFICATION NUMBER I transfer all rights, title and interest in the above described vehicle to: STK# 300159 NAME OF BUYER (PRINT …

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    • [DOC File]www.dol.gov

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      Model COBRA Continuation Coverage General Notice . Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice.

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    • [DOC File]Sample Schedule A Letter - Veterans Benefits Administration

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      Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.

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    • [DOCX File]AFTER ACTION REPORT SAMPLE - Under Secretary of Defense ...

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      The contractor used stereo cans to try and maintain the proper serving temperature. This required constant monitoring in order to prevent food-borne illness infecting the camp. Once the 9-1 kitchen was ready for use the contractor had to purchase some additional equipment that was supposed to be included in the 9-1 kitchen.

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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      DAYS AS OF 18. LEAVE USED THIS FY. 19. LEAVE PHONE - 20. LEAVE ADDRESS. 21. RATION STATUS (Enlisted) COMMUTED RATIONS (COMRATS) Meal Pass No. Entitled to EDF meals except during. periods of leave I CERTIFY THAT I HAVE SUFFICIENT FUNDS TO COVER THE COST OF ROUND TRIP TRAVEL.

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