Dually noted or duly noted

Dually noted or duly noted

Designation of Outstanding Wage PaymentsSurviving Spouse or Surviving Minor Children are to receive any outstanding wages or other monies upon the employees deathIn the event that upon my death I have wages or other monies due to me from the State of Georgia Department of Technical and Adult Education by this statement I authorize all such sums to be paid to the following individual whom I designate as my beneficiary of any Employee Employees NameSocial Security Beneficiary Name of Beneficia Source: Dually noted or duly noted
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