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League Business Representative’s signature (other than officer below) EX number from Form ST-119 copy attached 201771 Name of hotel or motel Street address City State ZIP code Certification I certify that the representative named above is acting on behalf of our veterans organization, and will be reimbursed by us for the rental of a hotel or motel room on the above date(s) of occupancy. I certify that the above statements are true, complete, and correct, and that no material...Show details
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