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PDF-cc12 Total receipts subject to tax andor surcharge 2a2b2c Tota PDF document

789201 Taxable receipts Report dollars and centsh IMPORTANTg Name and mailing address Make any necessary name or address changes belowBlacken this box if your mailing

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cc12 Total receipts subject to tax andor surcharge 2a2b2c Tota: Transcript

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