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Get FL DCF CF-ES 2620 2010-2022

_______________________________________________________________________ B. Reason for benefits:______________________________________________________________________________ CF-ES 2620, PDF 05/2010 [65A-1.205, F.A.C.] Page 1 of 2 ______________________________________________ ____________________________________ Case Name Case Number/Cat/Seq. Section III – RECORD OF PAY RECEIVED List the gross amounts and dates of checks or cash, which were paid for the last four weeks in the space bel.

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