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40.1 - Heading (Rev. 6, 08-30-02) A3-3895.1 The intermediary enters the contractor’s assigned 5-digit ID and the PRO's 5-digit ID number in the indicated spaces. It shows the 2-digit State abbreviation. For the total page show "Total" in the PRO space. In the space labeled "Report Month/Year" enter the calendar month and year reported, e.g., show 0692 for June 1992.