Form Gjc - Application For Green Jobs Creation Tax Credit Page 3

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Green Jobs Creation Schedule
Locality
Employee City or
Position
Date Position
Where Work
Brief Description of
SSN of
Employee
Employee
Employee
County and State
Job Title
Number
First Filled
is Performed
Position
Employee
Salary
Begin Date
End Date
of Residence
1
2
3
4
5
6
7
8
Attach Additional Pages if Needed.

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