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Summary: This is an example of a completed Form 8749 (Rev. 5-93). The complete items are: (1) From (X appropriate box): checked checkbox Statutes (4) Employee number field contains 8032100790 (5) Cycle sequence number field contains 9426005189 (6) Unpostable code field contains 150 (7) Reason code field contains 0 (8) Master file (X appropriate box): checked checkbox IMF (9) Unpostable resolution code (UPRES/URC): checkbox 8 (NU 01) (10) Closure date (mmddyy): field contains 071797 (13) Date (mmddyy) Research Completed: checked checkbox TXMOD field contains 071797 (14) Route to (X appropriate box): checked checkbox Rejects (17) Remarks field contains Cancel DLN 80221-100-12345-5, 000-00-4411, 30/9312 PELI