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Get CDC Participant Account Close-Out Form 2009-2024

Ay on CDC+: Date of most recent CDC+ Statement: Ending Balance reflected on that statement: $ ADD any deposits due that are not reflected in this amount, including any checks returned and not yet credited to the account: $ $ $ $ If the participant received a “cash check” to make purchases locally, enter the remaining amount of cash on hand here: Sub-Total 1 $ $ SUBTRACT any timesheets, invoices, or reimbursements for services provided or purchases made that have not yet been paid, incl.

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