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Get GA DOL-1a 2005

Ehalf of the employing unit. This report must be signed by owner, partner or principal officer. Signature Title PLEASE COMPLETE INDUSTRY INFORMATION ON REVERSE SIDE. Date DOL-1A (R-5/05) TA489A (CONTINUED) NATURE OF BUSINESS: Information is required on all items. Attach additional sheets, if necessary. A. How many Georgia locations do you operate? Provide the following information for each location, attaching additional sheets if necessary. C. Enter in order of importance and indicate ap.

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