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CEFmFiCATE OF <br />PREMIUM PAYMENT <br />WORKERS COMPENSATION BUREAU <br />SIN 4920 <br /> <br />L_ <br /> <br />ND ASSOCIATION OF COUNTIES <br />42.5 N 5 STREET <br />BISMARCK ND 58501 q. 033 <br /> <br /> 500 <br /> BISMARCK, ND <br />TOO NUMBF.~ (for ~ea~ng <br /> FAX NLNBE.=. <br /> TELEPHONE <br /> <br />Expiration Date <br /> <br />INC <br /> <br />Employer Account No. ~ <br /> <br />_J <br /> <br /> C~ss <br /> <br />O003Z. <br />O010Z <br />3630Z <br />5603Z <br />6042Z <br />7380Z <br />7520Z <br />7700£ <br />7720Z <br />874.7Z <br />8805Z <br />900ZZ <br />90077_ <br />904-0Z <br />906-2/. <br /> <br />9071Z <br />9182Z <br />9z~O3Z <br /> <br />FLORISTS? NURSE~,IES <br />POISONING? SPRAYING <br />AUTO REPAIR-BODY SHO <br />CONSULTING OPERATION <br />STREET AND RDAD CONS <br />CHAUFFEURS-SCHOOL BU <br />WATERWORKS <br />FIRE DEPARTMENTS <br />LAid ENFORCEMENT <br />OFFICZAL/TRAV REPS <br />CLERICAL OFFICE EMP <br />HOME HEALTHCARE PROV <br />BUILDING CUSTODIANS <br />HOSPZTALS <br />MEDICAL CLIN[C~ PHYS <br />SCHOOLS ~, LIBRARIES~ <br />RESTAU.~ANT$ ANO LOUN <br />A MU SE .~.ENT PARKS <br />;;ANITA[ON OPERATIONS <br /> <br /> <br />