Field 2: BILLING SERVICE NAME If applicable, enter the name of the billing service that the provider is enrolled. with. If you are not using a billing service, leave this field blank. Field 3: DATE Enter the date the Certification Statement is submitted to the fiscal agent.
Gregory Jerome Coleman (born September 9, 1954 in Jacksonville, Florida) is a retired American football punter who had a 12-year career in the National Football League playing for the Cleveland Browns, the Minnesota Vikings, and the Washington Redskins. He attended Florida A&M University.
Avid BBQ competitor Ted Coleman knew he needed to elevate his game to win the St. Louis BBQ Societyâs annual âKing of the Grillâ competition. He decided to use his Lunchbox Charcoal Grill to create a stunning plate of chicken thighs to the judges. Hereâs how Ted described the experienceâ¦ âWeâ¦.