Figure: 16 TAC §22.71(d)(1)(B)
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CONFIDENTIAL DOCKET NO.__________________ STYLE:________________________________________________ ______________________________________________________ SUBMITTING PARTY: ____________________________________ BRIEF DESCRIPTION OF CONTENTS:______________________ ______________________________________________________ BATE STAMP OR CONSECUTIVE PAGE NUMBER RANGE: ___________ TO ___________ ENVELOPE #______ OF ________ ADDITIONAL INFORMATION REQUIRED BY PROTECTIVE ORDER: ______________________________________________________
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