This government document is issued by Department of General Services for use in Pennsylvania
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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:xg1tju_bfd4&q=https://www.dgs.pa.gov/Documents/STD%2520Forms/DGS%2520Application%2520for%2520Vacancy.pdf&sa=U&ved=2ahUKEwinurbUr7D-AhXrcKQEHbWFC1g4RhAWegQICRAB&usg=AOvVaw2_dBwk1wojni5tk9gbp8w_