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GENERAL LIST

C542 Request hosp. record, to examine client's record, 11-98
T543 Request for patient information, PHL 18, 5-94
T544 Retainer, medical or dental malpractice, JUD 474A, 3-92
B547 Receipt post card for OCA statements, 1-96
T548 Retainer, sliding scale 1st & 2nd Dept., 3-92
B549 Statement as to retainer, sliding scale, App. Div., 1st & 2nd Dept., 8-93
R555 Authorization got release of health information pursuan tto HIPPA, OCA statements, 1-96
R564 Account of proceedings, exec. or admin., 9-67
T579 Claim against decedent estate, affid. in support, 1-88
T580 Summons, verified blank complaint liq. sum, Civil Ct, 1-95
582 Lit-A-Glance trial folder, heavy duty, 1-$6.55, 12-$66.55, 50-$266.75, 100-$509.75
P586 Assignment of lease, assumption, plain English, 11-98
591 Litigation env., printed collection form l0 x l5, 100-$78.65
592 Real estate env. 10 x l5 (NLS 65723), 100 $78.65
593 Real estate folder, legal size, (NLS RE3), 100-$49.95
T600 Answer, Blank Ct., 1977
T601 Application for index number. 10-90
B605 Application for employment, 7-92
606 Visitor's register persons calling at plant, $14.60
P607 Promissory note, witness, space, 7 5/8 x 11 litho. border
T611 Plaintiff's state. of defendant's failure to comply with physical exam rules, 10-85
T613 Plaintiff's notice for physical exam of plaintiff, exch. medical inform., 10-85

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