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      <SupplementalInformationDetail>
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          <AddressLine1Txt>57 CHARTER OAK AVENUE SUITE A</AddressLine1Txt>
          <CityNm>HARTFORD</CityNm>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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          <BusinessNameLine1Txt>CORPORATION FOR INDEPENDENT LIVING</BusinessNameLine1Txt>
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        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>87118</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK</MethodOfAmountDeterminationTxt>
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  </ReturnData>
</Return>