I have several records (bills) that are basically duplicates of each other, except for one field, which represents the language that bill is in.
For example:
Probably the easiest way would be to use ROW_NUMBER and PARTITION BY
ROW_NUMBER
PARTITION BY
SELECT * FROM ( SELECT b.*, ROW_NUMBER() OVER (PARTITION BY BillID ORDER BY Lang) as num FROM Bills b WHERE Account = 'abcd' ) tbl WHERE num = 1