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Get GSA SF 1147 1995-2021

CK: I certify that the correct name and/or designation of the payee is as shown hereon and the amount stated is due the payee. Issuance of a replacement check as indicated, for delivery in the usual manner, is authorized. Standard Form 1147 Rev. 5/1995 Department of the Treasury I TFRM 4-6000 Previous edition is not usable CORRECT NAME AND/OR DESIGNATION: ADMINISTRATIVE OFFICE LOCATION Replacement check issued as authorized SIGNATURE OF AUTHORIZED CERTIFYING OFFICER Control No. Date For.

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