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        <CityNm>Verona</CityNm>
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        <BusinessNameLine1Txt>Pine Bluff Park Inc</BusinessNameLine1Txt>
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      <PreparationDt>2024-08-13</PreparationDt>
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        <PersonNm>PENNY PRUITT</PersonNm>
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        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>Advertising and promotion $782.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 16</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Part I Line 13</FormAndLineReferenceDesc>
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