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Get Dss Form W 35

Check One: Vendor Invoice #: Purchase/Contract Type: Vendor/Contractor Name: Check One: Business Address: Spending Plan Code: PO POS Competitive PSA MOA/TI BOND Non-Competitive CORE-CT Contract #: DSS Contract #: PO #: FEIN #: Remittance Address: (where the check is to be mailed YOU MUST FILL THIS IN) Receipt # Vendor # Contract Period: From: To: Payment Period: From: To: Total Contract: $ Previous Payments: $ This Payment: $ Program is operating in compliance wi.

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