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Attachment 9 Statewide Payee Registration Washington State
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Document Date: 2015-04-23 11:35:05

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File Size: 122,00 KB

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City

Olympia / /

Company

Name/DBA Business Address Contact Information Bank / Partnership Corporation / Sole Proprietor LLC / /

Country

United States / /

/

Organization

Tax-exempt / National Automated Clearing House Association / S-Corp Non Profit Organization Volunteer Board /Committee Member Local Government State Government Federal Government / office of the State / office of Financial Management / Internal Revenue Service / /

/

Position

Treasurer / Medical Attorney / proprietor / /

ProvinceOrState

Washington / /

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