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DIRECTOR

***** **** **

LISA GREENE

***** **** **

INKSTER MI 48141-2820

UIA 1713 C/E

(Rev. 02-21)

GRETCHEN WHITMER

GOVERNOR

STATE OF MICHIGAN

DEPARTMENT OF LABOR AND ECONOMIC OPPORTUNITY

UNEMPLOYMENT INSURANCE AGENCY

Authorized By

MCL 421.1 et seq.

SUSAN R. CORBIN l

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