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Get La R-1029 2011

In area provided on back. Do not use this form for filing periods prior to July 2011. Filing period ZIP Account Number * Name(1) * * * * Name(2) Address(1) Address(2) City State ZIP mm/yy Please use blue or black ink. U.S. NAICS Code Round to the nearest dollar. Do not use dashes. 1 Gross sales of tangible personal property ...................................................... 1 2 Cost of tangible personal property (Used, consumed, or stored for use or consumption, or purc.

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