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UIA 1554-DUA (Rev[removed]PLEASE PRINT CLEARLY OR TYPE – USE BLACK INK UNEMPLOYMENT INSURANCE AGENCY
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Document Date: 2014-10-09 08:31:43

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City

Grand Rapids / /

Company

Full / STILL / WERE SELF / /

Country

United States / U.S. Virgin Islands / /

Currency

USD / /

Event

Product Recall / Product Issues / Person Travel / /

Facility

ARE YOU REQUIRED TO OBTAIN EMPLOYMENT THROUGH A UNION HIRING HALL / ARE YOU ATTENDING A SCHOOL OR COLLEGE / /

/

Organization

Michigan Department of Licensing / OR MILITARY SERVICE / U.S. Department of Labor / FEDERAL GOVERNMENT / P.O. Box / PO / Unemployment Insurance Agency / /

Person

Mike Zimmer / /

/

Position

TOTAL HOURS PM / unemployed worker / ACTING DIRECTOR Completion / YOUR DRIVER / DIRECTOR Completion / /

Product

EMPLOYMENT / /

ProgrammingLanguage

C / /

ProvinceOrState

Address /

RadioStation

HOURS AM / /

SocialTag