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The information provided herein is the confidential and proprietary work product of CBIZ and cannot be disclosed, copied or distributed to outside
third parties without the prior written consent of CBIZ. This information can be expressly used only for the intended purpose and recipient.
For December 31, 2016
CBIZ, Inc.
3625 Cumberland Blvd. SE, Suite 800
Atlanta, GA 30339
Telephone: (770) 858-4500
Completed January 2017
Medical, Pharmacy and Dental Incurred But Not Paid (IBNP) Report
CONFIDENTIAL
ABC Company