STATE OF LOUISIANA
DIVISION OF ADMINISTRATIVE LAW
DEPARTMENT OF ________________________________ *
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IN THE MATTER OF ______________ *DOCKET NO. ____
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(TITLE OF PLEADING)
"I certify that a copy of this document has been transmitted to all parties of record via (state method of transmission) on this __ day of ___ 20___."
La. Admin. Code tit. 1, § III-507