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Roster Line Item Details
| Authorization Reference No | |||||||
|---|---|---|---|---|---|---|---|
| Case Reference No | Voucher Number | ||||||
| Expected Units | [field-value] | Actual Units | |||||
| Service From |
| Service To |
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Roster Line Item Details
| Authorization Reference No | [field-value] | ||
|---|---|---|---|
| Case Reference No | [Case Reference No.] | Voucher Number | |
| Expected Units | [field-value] | Actual Units | |
| Service From | [Date] | Service To | [Date] |