This government document is issued by Controller, Office of the State for use in North Carolina
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https://www.google.com/url?client=internal-element-cse&cx=011942283435604047485:wxgyq9wheas&q=https://www.osc.nc.gov/fio-32entertimeforchargeobjectsusingfreeforminfioriapdf/open&sa=U&ved=2ahUKEwjT6PqF1JGGAxUA-QIHHUDvCxw4WhAWegQIBBAC&usg=AOvVaw0Pzs7BVxxNWWTmygKt8Tuv&arm=e