ࡱ>  @ nʷbjbjצצ E:JJJJJJJ^b<b<b<8^2<lDDDDDDd,E4].9$RlٖJKDDKKٖJJDDQQQKRJDJD]QK]QQVR@JJS D b<L^R ;SL 0R `LS^^JJJJJS(`E G0Q:H.I`E`E`Eٖٖ^^.b<tQ^^b<STATEMENT OF EXPENDITURESORIGINAL DHS RECEIPT DATE (For DHS Use Only)1. Contract NumberMichigan Department of Human Services See instructions on reverse side. See P.A. 431 information and non- discrimination statement on reverse side. FORMTEXT        FORMTEXT        FORMTEXT      SECTION I  Complete for all Submittals1A. Name of Contractor2. Index3. PCA4. Obj5. County FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      FORMTEXT      6. Period Covered by Statement7. Appn Yr2A. Index3A. Additional PCA sFROM: FORMTEXT      THRU: FORMTEXT       FORMTEXT    FORMTEXT       FORMTEXT      8. F.E. Number (or) Social Security Number9. Mail Code10. Contract Administrator Signature10a. Approval Date FORMTEXT       FORMTEXT       FORMTEXT      SECTION II  Bill Type11. Authorized DHS Approval Signature(s) (PAL)11a. Approval Date FORMCHECKBOX  ORIGINAL  FORMCHECKBOX  ESTIMATED FORMCHECKBOX  REVISED  FORMCHECKBOX  ADDITIONAL FORMCHECKBOX  FINAL  FORMTEXT      11b. Authorized DHS Approval Signature(s) (PAL) PRINTEDSECTION III  Dollars Expended to Provide Service to Eligible ClientsLISTED LINE ITEM BUDGETDOLLAR AMOUNT(Listed as specified in BudgetExpendedCumulativeContained in Agreement to PurchaseIn BudgetThis PeriodExpenditures to Date(1)(2)(3)(4)Salaries FORMTEXT       FORMTEXT       FORMTEXT      Fringe Benefits FORMTEXT       FORMTEXT       FORMTEXT      Occupancy FORMTEXT       FORMTEXT       FORMTEXT      Communication FORMTEXT       FORMTEXT       FORMTEXT      Supplies FORMTEXT       FORMTEXT       FORMTEXT      Equipment FORMTEXT       FORMTEXT       FORMTEXT      Local Transportation FORMTEXT       FORMTEXT       FORMTEXT      Contractual Services FORMTEXT       FORMTEXT       FORMTEXT      Specific Assistance to Individuals FORMTEXT       FORMTEXT       FORMTEXT      Miscellaneous FORMTEXT       FORMTEXT       FORMTEXT      TOTALS FORMTEXT       FORMTEXT       FORMTEXT      SECTION IV  Units Rendered to Provide Service to Eligible ClientsTYPE OF SERVICE (1)Contract Rate Per Unit (2)Number of Units Contracted (3)Units Provided This Period (4)Payment Amount This Period (5)Cumulative Units to Date (6)Cumulative Amount to Date (7) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      TOTALS FORMTEXT       FORMTEXT      I hereby certify that the expenditures as stated in Section III represent actual expenditures made in accordance with the contract budget DHS-468; or that units of service provided as stated in Section IV have been provided.Contractor Signature Date FORMTEXT      INSTRUCTIONS Please Type or Print. Section I  Complete for all submittals Section II  Complete for all submittals Section III  Complete for line item reimbursement only Section IV  Complete for unit cost reimbursement SECTION I1.Contract NG   & ( * 4 6 : < P R T ^ ` d . 0 D F H R T V X l n p z | ~ jh Uj@h Ujh UjVh Ujh Uj.h Ujh UmHnHujh Ujh U h 5 h @h 8GH[\~~ttj 0 & F$If 0 & F$If'$Ifnkd$$If94\!"+4 9af4$If*$If >ȷ  8 : b d 0$Ifnkd$$If94\!"+4 9af4-$If  , $Ifpkd$$If94 \!"+4 9af4, . 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"" ""","."0"2"F"H"J"T"V"X"Z"n"p"r"|"~"""jGh UjwGh UjGh UjFh UjFh UjEh Uj)Eh Ujh UmHnHujh UjCh Uh 8f!h!!!!"0"X""UOOOOOOO-$Ifkd;D$$If94֞ :!Y&+- FKFGFI4 9af4""""""#J#r##UOOOOOOO-$IfkdcH$$If94֞ :!Y&+- FKFGFI4 9af4""""""""""""""""""""""#### #"#$#8#:#<#F#H#J#L#`#b#d#n#p#r#t###########h OJQJjLh UjKh Uj)Kh UjJh Uj=Jh UjIh Ujh UmHnHujh UjQIh Uh 4########$ULFFFFFF-$If -$$Ifa$kdL$$If94֞ :!Y&+- FKFGFI4 9af4###########$%% % %& & &,&X&'''( >ޚěԛhvԜBDLPd0ܡ(@\,6ڣ( .Xvڿڿڿڿڿڿڿڿڿڿڿڿڿڿڿڿڷڿڿڿڿڿڿڿڿ h @U h 5jPh UjMh Uh jh UmHnHujh UjyMh UH$$kdeN$$If94֞ :!Y&+- F K F G F I  <4 9af4p<$$$$$%%&-$If]kdO$$If94FY&+`I    4 9af4$If$If&&*&,&X&&&j'''' 0d$If *d$If]kd)Q$$If94FY&+ I    4 9af4 '''wHkdFR$$If940*+cw(4 9af4 0d$If5kdQ$$If94++4 9af4umber  fill in the complete contract number, including the letter prefix as it appears in the upper right hand corner of the contract.1A.Name of Contractor - fill in the contractor name exactly the way it is listed on the front page of your contract.2., 2A.Index  Fill in the five digit index number for the expenditure. Use 2A if additional index is needed.3., 3A.P.C.A.  Fill in the five digit program cost account for the expenditure. Use 3A for multiple PCA s.4.A. Obj.  Fill in the four digit object code appropriate for the expenditure.5.County  County name.6.Period Covered by Statement  fill in the beginning and ending date of the service period covered by this statement.7.App. Year - Fill in the four digit appropriation year that funds are to be expended from.8.Federal Employer Number (or) Social Security Number  fill in your federal identification number as it appears on Federal tax information. This is a nine digit figure. If you have no federal identification number your social security number may be used.9.Mail Code  Fill in the three digit mail code which corresponds to the mail address.10.Contract Administrator  To be completed by the Department.11.Authorized DHS Approval Signature(s) (PAL)  to be completed by the Department.10A., 11A.Approval Date  to be completed by the Department.11B.PRINTED Authorized DHS Approval Signature (PAL)SECTION II1.Original, Revised, Final, Estimate and Additional  check the appropriate box.SECTION III(Col. 1)Line Item Budget  Budget categories are listed exactly in the order that they appear on the DHS-468, Budget Statement.(Col. 2)In Budget  fill in the amounts allocated for each category in the contract. Amounts must adhere to approved line item changes, if any.(Col. 3)Expended this Period  fill in the amount spent for each category in the period you are billing the department by actual expenditures of each line item. (Col. 4)Cumulative Expenditures to Date  fill in the amount you have spent from the beginning date of the contract, including this billing period.SECTION IV  If contract is paid by unit rate, complete ONLY Section IV.(Col. 1)Type of Service  fill in the definition(s) of unit(s) as stated in the contract under Section II, Contractor Responsibilities.(Col. 2)Contract Rate Per Unit  fill in the payment rate of each service as stated in the contract under Section III, Department Responsibilities  Payment.(Col. 3)Number of Units Contracted  fill in the total number of units for each service this contract will allow as stated in the contract under Section II, Contractor Responsibilities.(Col. 4)Units Provided this Period  fill in the number of units for each service used in this billing period.(Col. 5)Payment Amount this Period  fill in the dollar amount of the units used in this billing period. This is the product of the contract rate per unit times the units provided this period. Total column, this is the amount you should expect to be paid.(Col. 6)Cumulative Units to Date  fill in the total number of units used from the effective date of this contract to date.(Col. 7)Cumulative Amount to Date  fill in the amount spent from the effective date of the contract to date. Total column. SIGNATURE  Signature of person administratively responsible for the contract.Original to Contract Payment Unit, Suite 1018, Grand Tower Building, Lansing Copy to Contractor; copy maintained by Contract AdministratorThe Department of Human Services (DHS) will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, height, weight, marital status, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your county.AUTHORITY: P.A. 280 1939. COMPLETION: Mandatory. PENALTY: No payment processed. DHS-3469 (Rev. 8-06) Previous edition obsolete. 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B@f#2 Name: B@f;2 Title: B@fR< Office: B@fkU Address: B@f City-ST-Zip: B@f7 Phone: B@f>% FAX: B@fCO-DI-SEC-UN-WKR: B@fK 6Enter the following information about your supervisor. B@f2 Name: B@f 2 Title: B@f X B@("X B@ B@*Z8E !.!0.,6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoName MYINFO.ini %Z ,(UserInfoTitle MYINFO.ini %Z ,(UserInfoAreaCode MYINFO.ini %Z ,((UserInfoPhone MYINFO.ini %Z ,(UserInfoYourExt MYINFO.ini %Z ,(bUserInfoFaxAC MYINFO.ini %Z ,(dUserInfoFax MYINFO.ini %Z ,(fUserInfoOffice MYINFO.ini %Z ,(UserInfoAddress MYINFO.ini %Z ,(UserInfoCity MYINFO.ini %Z ,(UserInfoState MYINFO.ini %Z ,(UserInfoZip MYINFO.ini %Z ,(UserInfoCO MYINFO.ini %Z ,(UserInfoDI MYINFO.ini %Z ,(UserInfoSEC MYINFO.ini %Z ,(UserInfoUN MYINFO.ini %Z ,(UserInfoWKR MYINFO.ini %Z ,(UserInfo Boss Name MYINFO.ini %Z ,(|UserInfo Boss Title MYINFO.ini %Z ,(~,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT , !D%0'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoName ,! MYINFO.ini B@FUserInfoTitle ,! MYINFO.ini B@FUserInfoAreaCode ,!( MYINFO.ini B@FUserInfoPhone ,! MYINFO.ini B@FUserInfoYourExt ,!b MYINFO.ini B@FUserInfoFaxAC ,!d MYINFO.ini B@FUserInfoFax ,!f MYINFO.ini B@FUserInfoOffice ,! MYINFO.ini B@FUserInfoAddress ,! MYINFO.ini B@FUserInfoCity ,! MYINFO.ini B@FUserInfoState ,! MYINFO.ini B@FUserInfoZip ,! MYINFO.ini B@FUserInfoCO ,! MYINFO.ini B@FUserInfoDI ,! MYINFO.ini B@FUserInfoSEC ,! MYINFO.ini B@FUserInfoUN ,! MYINFO.ini B@FUserInfoWKR ,! MYINFO.ini B@FUserInfo Boss Name ,!| MYINFO.ini B@FUserInfo Boss Title ,!~ MYINFO.ini B@FGet user info from INI fileUserInfoName MYINFO.ini %Z' \UserInfoTitle MYINFO.ini %Z' ^UserInfoAreaCode MYINFO.ini %Z' (UserInfoPhone MYINFO.ini %Z' `UserInfoYourExt MYINFO.ini %Z' bUserInfoFaxAC MYINFO.ini %Z' dUserInfoFax MYINFO.ini %Z' fUserInfoOffice MYINFO.ini %Z' hUserInfoAddress MYINFO.ini %Z' jUserInfoCity MYINFO.ini %Z' lUserInfoState MYINFO.ini %Z' nUserInfoZip MYINFO.ini %Z' pUserInfoCO MYINFO.ini %Z' rUserInfoDI MYINFO.ini %Z' tUserInfoSEC MYINFO.ini %Z' vUserInfoUN MYINFO.ini %Z' xUserInfoWKR MYINFO.ini %Z' zUserInfo Boss Name MYINFO.ini %Z' |UserInfo Boss Title MYINFO.ini %Z' ~ Update Form with user info WorkerName %\F workerName \ B@^g WorkerTitle %\F WorkerTitle ^ B@^gWorkerAreaCode %\FWorkerAreaCode ( B@^g WorkerPhone %\F WorkerPhone ` B@^gWorkerExtension %\FWorkerExtension b B@^gFaxAC %\FFaxAC d B@^g WorkerFax %\F WorkerFax  B@^g Countynumber %\F Countynumber r B@^gDistrict %\FDIstrict t B@^gSection %\FSECtion v B@^gUnit %\FUNit x B@^gWorker %\FWorker z B@^g CountyName %\F CountyName h B@^g CoAddress %\F CoAddress j B@^gCoCity %\FCoCity l B@^gCoState %\FCoState n B@^gCoZip %\FCoZip p B@^gSupervisorName %\FSupervisorName | B@^gSupervisorTitle %\FSupervisorTitle ~ B@^g. Update other Form Fields on Form & Exit Macro- Selected$=GetFormResult$ ("CurrentDate")! TheSerialDate = Today() + 14$ TheDate$ = Date$(TheSerialDate)& SetFormResult "DueDate", TheDate$) EditGoTo "CreateDate" : UnlinkFields EditGoTo "GranteefirstName"- ToolsProtectDocument .NoReset = 1, .Type = 2/ ToolsProtectSection .Section = 2, .Protect = 0a FileClose 2 SelectName = - 1hhl`X1Attribute VB_Name = "MyInfo" Public Sub MAIN(X) D.nDescription|Enter Personal rma:zProcDataIInvoke _FuncITe@mplate"ject..wJDim iRet  User$TitleAreaCod!-PhonYo urExtFaxAC  Offic $Ad dressCidtyStbZ$ipCODISEB;UN WKRBoss| |] 'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 300,H G TextBox 109@ A 5@ 18@ KA#g 56 ,u 83 Cb[ 1\05k 2A33y21A5Au 3~4   ~ 9 7 1$55Ŷ [1 Pi23` n6idV3jFAXAC41e w `VV1@,C:O629 *DI7m qV? UN64!l1.{Vym23n`64`z7,4, c3zthe following info$ about yself. ",  !:w5f"bC #10@8O$31{1aA-ST- u5_ abm3r13@ gY  ;"CO-DI-aT-UN-@H47224* superv0isor!a 124f>6p6iOKButt48 8pR21 f@Cancel3GkEndn 1rdlguQ As Ob: SHet = CurValues. vGET USER INF@O FROMI FILE AND PUT I NTOzx.t[GetPrivfileSp@ng$](" "'P:qMY.ini"r hl ? a"4??>? Mpn_1r &.nAC `axU/-Y??>OMA\C$$a&gp Op | DIpp/-UN0 | {p y QaeProfileString$]("UserInfo", "Boss Name0MYINFO.ini") dl g.LTitle = WordBasic.[GetPrivat >e 'DISPLAY DIALOG BOX AND RESPOTO USER INPUT@ iRet Dialog. F(If -1 Then 'OK BUTTON ?WRIT E NEW3FO6I FILE xSx ቟Your , - -AreaCod|PhonEExtE@FaxACL+@OfficZ Ly+[Address0$ City ? : |StP  z ZNE WKR#kNamڈ OfficeAddress|Co%  ACoCity  ! CoSta>t$c b CoZip  "Supervpisor<, Boss! /Titl% b ' Upd. other ! Fields on& t Macro  Rem" Sel}ed$=G $ ("CurrpentD9'S erial = Today()` + 14$k()D|ue`"GEditGoTo "Ct : Unlink'Granteefirst3"ToolsProtDocum .Noet`1, .TypeM@2/ .= 2 `0 Else#FileClose D Gc.@- 1n@d If Sub H 8ME " 0worker" B@ lXPlAttribute VB_Name = "Worker" Public Sub MAIN() tdBasic.WW7_EditGoTo Destination:="wEndz xm :(6 << < 8$*\Rffff*4238cd0a1a `xXp$+Adds row to table FOLLOWING cursor locationTemplateProject.AddRows.MAIN0H@ME "0@ B@ B@lH@Attribute VB_Name = "AddRows" Public Sub MAIN() D.pDescription~s row to table FOLLOWING cursor loca\NProcDataZInvoke_FuncZTemplateA"ject..KWordBasic.LineDown 1 TInserBt Numt:D="Ends x_}m {sCorrectCoStateNoReset)OtherID`  @P ME " V*h    Z@Q This serves as a replacement to the spell checker within a protected documentCheck spelling now? %R'P P B@l B@T B@V|n B@zhl0Attribute VB_Name = "Correct" Public Sub MAIN() Dim ans Rem This se@rves a replacement to the spell checker within @a proted docu3 ZWordBasic.MsgBox("C?King now ?", 3If4-1en  QATools4UnoDi %St`artOf"S7d>0Pg NoReset:=1, Type:=2 End If xG}mcH T!8ME "(8costate" B@ lPHqAttribute VB_Name = "CoState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cosEnd| xG}m1co      "#$%&'()*+,-/13579;=?ACEGIKLMNOPQRSTUVWXZ[\]^_`abcdefgijklmnopqrstuvxyz{|}~H 8ME " <H hx8 This saves as a form without resetting the form fields.|n B@zlAttribute VB_Name = "NoReset" Public Sub MAIN() Rem This saves a form without rztin g the4fields. WordBasic.ToolsProtectDocument ~:=1, Ty pe:=2End xG}m3cH 8ME "(8otherid" B@ lPHsAttribute VB_Name = "OtherID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=$"oidEnd| xG}m5cSection__SRP_0Jl__SRP_1!$__SRP_2.TH 8ME "(8Section" B@ lPHjAttribute VB_Name = "Section" Public Sub MAIN() WordBasic.WW7_EditGoTo Desti$nar:=End| rU     =Retrieves CIS Client address info from c:\glwin\cistowrd.ini %TemplateProject.InsertCisAddress.MAIN -Adds a row aK)^  ))002233rU~~~~~~~~~~~~~~Z g‡SH;ntH  ; A q!I q 9a 1Y )Ii )Ii  )Iay    !9Qi y i QFORMPORT ThisDocumentTemplateProjectModule1SuperPhoneNumberInsertCisAddressGranteeFirstNameWorkerExtensionGranteeLastNameGranteeClientIDGranteeAddress1AddChildInfoRowWorkerAreaCodeSupervisorNameSuperExtentionAddSvcReferral SvcRefHeading SuperAreaCode GranteeCareof CoSuppaddress CoPhoneNumber ClearCaseInfo NewParagraph GranteeState countynumber WorkerPhone GranteeCity CoExtension ClientState WorkerName GranteeZip CountyName CoAreaCode ClientCity CaseNumber WorkerFax RemoveRow lastname2 FirstName CoAddress ClientZipRowBreakLastNameDistrictCaseInfoAddress1SectionOtherIDNoResetCoStateCorrectAddRowsWorkerMyInfoHiddenCountyCoCityCareOfFaxACDate1CoZipUnitF=C:\Program Files\Common Files\Microsoft Shared\VBA\VBA332.dllVBA  y ( F4C:\Program Files\Microsoft Office\Office\MSWORD8.OLBWord   80FC:\WINNT\System32\StdOle2.tlbstdole  a HxsM'C:\WINNT\System32\MSForms.TWDMSForms  Q X.E .`M AGM'C:\TEMP\VBE\MSForms.EXD  Q hL-[DR 2C:\Program Files\Microsoft Office\Office\MSO97.DLLOffice  9xMAIN $nd fields for A. Service Referral #TemplateProject.AddSvcReferral.MAINEnter Personal InformationTemplateProject.CaseInfo.MAIN +Adds row to table FOLLOWING cursor locationTemplateProject.AddRows.MAINTemplateProject.MyInfo.MAIN (Makes the selection hidden text (toggle)TemplateProject.Hidden.MAINrU~} k__SRP_30m__SRP_42T__SRP_54m__SRP_6#6TrU $`aprU~} krU $`AprU~} k__SRP_78m__SRP_8 ":T__SRP_9<m__SRP_a!%>TrU $`9prU~} krU $`prU~}  k__SRP_b@m__SRP_c$&BT__SRP_dDm__SRP_e7FTrU $ `)prU~}  krU $ `iprU~} k__SRP_fHeAddress1(*JCaseInfo_!District)-YrU $`pxG}m7cH 8ME "(8Address1" B@ JlPHnAttribute VB_Name = "Address1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:"= End~ xG}m;cH x6m9R(6 << < 8$*\Rffff*4138cd0a1a `bb@ PPxPP P :PLPSPP@ `, $Enter Personal InformationTemplateProject.CaseInfo.MAINh`MEc " (08@HPX `"& (&0(X&(&&& $H Np*,* .P*,44.P   <FHXFJF8HLLHh 2 & FHHFJ Fp H L LP H " B DX B F B0 Dx H H DP " 6 : B8>6:N8NB 4 X` p Z@ZXZpZZZZZZZZ0OPEN FCTPSA TOOLBAR B@  FCTPSA Tools " B@DEFINE DIALOG BOXF,CaseInfo B@$  YourFCCNo B@&8 YourFCCN B@&P  YourFCWLNo B@&i YourFCWN B@&  YourPSCNo B@& YourPSCN B@&fYourHAL B@&fYourHAF B@&fYourDC B@&k  0Enter the following information about this case. B@f# FC Case No.: B@f; FC Case Name: B@fR FC Load No.: B@fk FC Worker Name: B@f PS Case No.: B@f PS Case Name: B@f Household Ass'd Last: B@f Household Ass'd First: B@f Date Completed: B@f,X B@( B@*ZHE !.!0.,6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoFCCaseNoC:\Windows\CaseInfo.ini %Z ,(2UserInfo FCCaseNameC:\Windows\CaseInfo.ini %Z ,(4UserInfoFCLoadNoC:\Windows\CaseInfo.ini %Z ,(6UserInfo FCWorkerNameC:\Windows\CaseInfo.ini %Z ,(8UserInfoPSCaseNoC:\Windows\CaseInfo.ini %Z ,(:UserInfo PSCaseNameC:\Windows\CaseInfo.ini %Z ,(<UserInfo HouseholdLastC:\Windows\CaseInfo.ini %Z ,(>UserInfoHouseholdFirstC:\Windows\CaseInfo.ini %Z ,(@UserInfo DCompletedC:\Windows\CaseInfo.ini %Z ,(B,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT , !D%0'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoFCCaseNo ,!2C:\Windows\CaseInfo.ini B@FUserInfo FCCaseName ,!4C:\Windows\CaseInfo.ini B@FUserInfoFCLoadNo ,!6C:\Windows\CaseInfo.ini B@FUserInfo FCWorkerName ,!8C:\Windows\CaseInfo.ini B@FUserInfoPSCaseNo ,!:C:\Windows\CaseInfo.ini B@FUserInfo PSCaseName ,!<C:\Windows\CaseInfo.ini B@FUserInfo HouseholdLast ,!>C:\Windows\CaseInfo.ini B@FUserInfoHouseholdFirst ,!@C:\Windows\CaseInfo.ini B@FUserInfo DCompleted ,!BC:\Windows\CaseInfo.ini B@FGet user info from INI fileUserInfoFCCaseNoC:\Windows\CaseInfo.ini %Z' UserInfo FCCaseNameC:\Windows\CaseInfo.ini %Z' UserInfoFCLoadNoC:\Windows\CaseInfo.ini %Z' UserInfo FCWorkerNameC:\Windows\CaseInfo.ini %Z' UserInfoPSCaseNoC:\Windows\CaseInfo.ini %Z' UserInfo PSCaseNameC:\Windows\CaseInfo.ini %Z' UserInfo HouseholdLastC:\Windows\CaseInfo.ini %Z' UserInfoHouseholdFirstC:\Windows\CaseInfo.ini %Z' UserInfo DCompletedC:\Windows\CaseInfo.ini %Z'  Update Form with user infoFCCASENO %\FFCCASENO  B@^g FCCASENAME %\F FCCASENAME  B@^gFCWORKERLOADNO %\FFCWORKERLOADNO  B@^g FCWORKERNAME %\F FCWORKERNAME  B@^gPSCASENO %\FPSCASENO  B@^g PSCASENAME %\F PSCASENAME  B@^gHOUSEHOLDASSESSEDLST %\FHOUSEHOLDASSESSEDLST  B@^gHOUSEHOLDASSESSEDFST %\FHOUSEHOLDASSESSEDFST  B@^g DATECOMPLETED %\F DATECOMPLETED  B@^g. Update other Form Fields on Form & Exit Macroa B@H'hxlphmAttribute VB_Name = "CaseInfo" Public Sub MAI`N() D.rDescriptionEnter Personal rma:zProcDataIInvoke_FuncITemplateA"ject..yLDim iRet  UserFCCNo$ I WL WNPS HALFDCSelU 'OPEN FCTPSA TOOLBAR WordBasic.ViewToolbars ColorButtons:=1, Large0, Tipc"':=";/s", Show+'DEFINE DIALOG BOXBeginDialog 582, 30 Ʌ 1Text@Box 15 3 265, 18, "Youdka 56,  8/ wW 7@ 10ˀ& N13]\ 5A  2AY1y510QO 24 F i24 $DC@ 4 1079` 4B3;c|the following info} about this c. 19K$,1 FC | No.:w5p!YLoad #Y^k{x 1` PS} ,5,3 1 93(Household AsHs'd`st2B;FirD`eted3IOKc26% 821 EndÏdlgA Oba: SHet I= GCurValues.! GET USER INF@O FROM I FILE AND PUT I@NTO .@G[GetPrivfileSng$]("\NoaC:\Windows\!.ini" p H?u $T???C5?u?oNCp`9Q9_er"\OON OOjS##2bdaDLastooegHAF???KϒGOOHDC??>DCoKCDISPLAYAbCRESPOCPCED * HHIf(x>P?If0-1 Then 'OK BUTTONWRITE NEWXLIN6LYTQH`zHeB,G~OJo<O e4:CN;&HM_R] GW % GEo k SGO"qrA GL >FFFDCr fromr?cqfD)dC:("UserInfo", "FC CaseNXC:\Windows\P.ini"p) N$ = WordBasic.[GetPrivateProfileString$]1amev"jWLNo5lLoad(ՆWjkerNkPSC5k)ց4#'5HALsHouseholdLastdHAF<HFirfDC3DCompleted5 ' Upd Form with @Er &iIfExistBook mark(AASENO") ThDen SetR`esult ,2 yo$_ G AME CC A WORKERLOAD N'f N?!@j#/]4# ?$_ "H HOUSEHOLDASSE@DLST^B_#AnF"F?!DATECOMPLETCoExtension9=MxG}mUcH _8ME "(8 GranteeZip" B@ lPHpAttribute VB_Name = "GranteeZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End xG}mWcH pP8ME "(8 workername" B@ lPHtAttribute VB_Name = "Workerh" Public Sub MAIN() dBasic.WW7_EditGoTo Destination:="wnEnd xG}mYcH 88ME "(8 clientstate" B@ lPHvAttribute VB_Name = "ClientState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinati@on:="csEnd xG}m[cH 8ME "(8 coextension" B@ lPHtAttribute VB_Name = "CoExtension" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatr@:="coeEnd xG}m]cGranteeCity\WorkerPhone<>kcountynumberzGranteeState;GH 8ME "(8 GranteeCity" B@ lPHqAttribute VB_Name = "GranteeCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End xG}m_cH 8ME "(8 workerphone" B@ klPHuAttribute VB_Name = "WorkerPhone" Public Sub MAIN() dBasic.WW7_EditGoTo DestinationP:="wpEnd xG}mAcH 8ME "(8 Countynumber" B@ lPHtAttribute VB_Name = "countynumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="C End xG}mCcH  8ME "(8 GranteeState" B@ lPHrAttribute VB_Name = "GranteeState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:= End NewParagraphXThisDocument@B_VBA_PROJECT?3ClearCaseInfoAEPxG}mEcH 8ME " (@`px B@ B@l $ B@v|n B@z % B@lŰAttribute VB_Name = "NewParagraph" Public Sub MAIN() WordBasic.ScreenUpdating 0 >ToolsUnprotectDo@cument Insert Chr(13[?P = NoReset:=1, Type:=2 QCharRight 1 End xmk# (SLSS<N0{00020906-0000-0000-C000-000000000046}8($HMExAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |CreatablFalse ^PredeclaIdTru "@ExposeTemplateD0eriv$eCustomiz2xG}mGca^  *\G{000204EF-0000-0000-C000-000000000046}#3.0#9#C:\Program Files\Common Files\Microsoft Shared\VBA\VBA332.dll#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.0#409#C:\Program Files\Microsoft Office\Office\MSWORD8.OLB#Microsoft Word 8.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINNT\System32\StdOle2.tlb#OLE Automation*\G{7C79B5C0-E6E6-11D2-9439-0000C01A86E5}#2.0#0#C:\WINNT\System32\MSForms.TWD#Microsoft Forms 2.0 Object Library*\G{410819B2-F347-11D2-85EC-000502AE4D27}#2.0#0#C:\TEMP\VBE\MSForms.EXD#Microsoft Forms 2.0 Object Library.E .`M *\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.0#0#C:\Program Files\Microsoft Office\Office\MSO97.DLL#Microsoft Office 8.0 Object Library; 8  ,8967+*:%5320)"41#m;ThisDocument 438cd0a19*Dk SuperPhoneNumber 538cd0a19*Di InsertCisAddress 3f38cd0a1a*D$g0 GranteeFirstName 738cd0a19*D`eHWorkerExtension 838cd0a19*Dbc`GranteeLastName 938cd0a19*DdaxGranteeClientID a38cd0a19*DfGranteeAddress1 b38cd0a19*Dh}AddChildInfoRow c4117c30a*Dj{|WorkerAreaCode d38cd0a19*D~ySupervisorName e38cd0a19*DwSuperExtention f38cd0a19*DuAddSvcReferral 4038cd0a1a*Ds VSvcRefHeading 1138cd0a19*Dq8 SuperAreaCode 1238cd0a19*DOPGranteeCareof 1338cd0a19*DMh CoSuppaddress 1438cd0a19*DK CoPhoneNumber 1538cd0a19*DI ClearCaseInfo 1638cd0a19*DGNewParagraph 1738cd0a19*DEGranteeState 1838cd0a19*DCcountynumber 1938cd0a1a*DNAWorkerPhone 1a38cd0a1a*D_GranteeCity 1b38cd0a1a*D](CoExtension 1c38cd0a1a*D[@ClientState 1d38cd0a1a*DVYXWorkerName 1e38cd0a1a*D&WpGranteeZip 1f38cd0a1a*DUCountyName 2038cd0a1a*D,SCoAreaCode 2138cd0a1a*DQClientCity 2238cd0a1a*DT/CaseNumber 2338cd0a1a*DL-WorkerFax 2438cd0a1a*D+RemoveRow 2538cd0a1a*D)klastname2 2638cd0a1a*D'0FirstName 2738cd0a1a*DH%HCoAddress 2838cd0a1a*D#`ClientZip 2938cd0a1a*DX!xRowBreak 2a38cd0a1a*D?GLastName 2b38cd0a1a*DJ=District 2c38cd0a1a*D.;CaseInfo 4138cd0a1a*D9.Address1 2e38cd0a1a*DR7Section 2f38cd0a1a*D05OtherID 3038cd0a1a*DJ3 NoReset 3138cd0a1a*D|18o CoState 3238cd0a1a*DLPCorrect 3338cd0a1a*DN hsAddRows 4238cd0a1a*DX - Worker 3538cd0a1a*D4 $ MyInfo 4338cd0a1a*DZ( Hidden 4438cd0a1a*Dv/ County 3838cd0a1a*D! CoCity 3938cd0a1a*D CareOf 3a38cd0a1a*DP FaxAC 3b38cd0a1a*Dd(( Date1 3c38cd0a1a*D@' CoZip 3d38cd0a1a*DX&Unit 3e38cd0a1a*D2phPpX@(x`H08 hPpX@(x`H08 NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'NM'pHGREMWordkVBAWin16~Win32MacFORMPORT stdole`MSFormsC ThisDocument< _EvaluateOfficeuTemplateProjectEModule1bSuperPhoneNumber\MAIN, WordBasic WW7_EditGoTod DestinationлInsertCisAddress>} WorkerNameJAreaCode PhoneNumber CountyNameDistrict}-SectionGUnitWorker8 ApDistrictApUnitPApWorkerW FsDistrictaFsUnitFsWorker SvDistrict]SvUnit/SvWorker FirstNameLastName CaseNumberA countynumberyxCareOfƻAddress1O ClientCitym ClientState ClientZipGetPrivateProfileString$xExistingBookmark SetFormResultGranteeFirstNameEWorkerExtensionGranteeLastName.GranteeClientIDGranteeAddress1AddChildInfoRow^ToolsUnprotectDocument(NextCellWW7_EditAutoTextCContextXnInsertAsInsertrCharLeftToolsProtectDocument-0NoResetgWorkerAreaCodeSupervisorNameSuperExtentionAddSvcReferral} SvcRefHeadingi&TableSelectRowTableInsertRowQNumRows CenterParaLineUpK InsertPara,LineDownxTableInsertCells ShiftCells( CharRightPTableMergeCellst BorderRight_ SuperAreaCodeq GranteeCareof CoSuppaddress^  CoPhoneNumberx ClearCaseInfohFileFind SearchName֡ SearchPath.SubDir+Title~AuthorKeywordsTSubjectRPOptions MatchCase PatternMatch DateSavedFromu= DateSavedTojdSavedByDateCreatedFrom DateCreatedToViewISortByoListBy+ SelectedFile\Kill NewParagraphqScreenUpdating! ChrK~ GranteeStateM WorkerPhone GranteeCity@ CoExtensionK GranteeZip  CoAreaCode WorkerFaxv RemoveRow0^TableDeleteRowA lastname2sL CoAddressRowBreakFTableRowHeight"X RulerStyleaLineSpacingRulep LineSpacing LeftIndenti AlignmentI AllowRowSplit{CaseInfoiRet,p UserFCCNoBUserFCCN7 UserFCWLNoyUserFCWN UserPSCNoOUserPSCNqUserHALօUserHAFЅUserDC SelectNameW; ViewToolbars| ColorButtons} LargeButtonsSWToolTips5+Toolbar2Show BeginDialogFTextBoxQOKButton| EndDialogmP dlgUserInfo2" CurValuesȤ UserDialog YourFCCNo+YourFCCN. YourFCWLNoYourFCWN0 YourPSCNo9YourPSCNP<YourHALYYourHAFYYourDCDialogfSetPrivateProfileString= FileClose_OtherIDCoState1Correct'ansxtMsgBoxRStartOfDocument ToolsSpellingAddRowsMyInfo@UserName\ UserTitleV9 UserPhoneYourExthLFaxACjYourFaxrN UserOffice0 UserAddressFUserCity UserStateUserZipDUserCOUserDIUserSEC4UserUN0UserWKR,BossNamef BossTitleHFaxY CancelButtonYourName;R YourTitleA# YourPhone YourOffice YourAddressYourCity YourStateYourZipYourCOYourDIYourSECvYourUNVYourWKRnHidden] FormatFont&Points UnderlineColor2F StrikeThrough" Superscript SubscriptV SmallCaps~cAllCapss_SpacingSPositionKerningB KerningMin1FontUBoldItalic!CountyG8CoCityr7Date11CoZip0Documentj  |% '-/(1+3:t51K, I#K'M!O"Q6#S*$U%W&Y%'M.(O/)Y0*a+c,e-g.i/k0[21e72}-3 : ; < = >3?ILMNO4P5Z8[9\]fijklm n!o"p$r&s)|&H 8ME "&   c:\windows\ caseinfo.inif B@c:\windows\caseinfo.ini B@lH@EAttribute VB_Name = "ClearCaseInfo" Public Sub MAIN() WordBasic.File@Find Slch:=" ",! Path c:\wJows\4Jceie.ini0ubDir:=0, Title6Autho" Keywysject Option=`MatchKex#ternDateSavedFrom# LToByC?@ABCEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijkmnopqrstuvwxyz|}~cH 8ME " (8 superareacode" B@ lPH}Attribute VB_Name = "SuperAreaCode" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="sacEnd xG}mqc SvcRefHeading  AddSvcReferralHJD SuperExtentionlSupervisorNameIO{H ?0!8ME@ "  (@2P  2  2 P ` p2   2  0 @2P   2   2  X h2x   4  ( 84H     0 HXh4x 4( B@l{ B@ B@ B@xsvcrefh1rtv B@px B@ B@nsvcrefh2rtv B@p B@ B@! B@nsvcrefh3rtv B@p B@ B@ B@nsvcrefh4rtv B@p B@ B@ B@nsvcrefh5rtv B@p B@ B@ B@nsvcrefh6rtv B@p B@ B@ B@nsvcrefh7rtv B@p B@ B@ B@nsvcrefh8rtv B@p B@ B@nsvcrefh9rtv B@p B@ B@ B@n svcrefh10rtv B@p B@ B@ B@n svcrefh11rtv B@p B@ B@Add Instruction Row B@ B@ B@x B@ B@ B@n  B@ B@ B@ B@x SvcRefH12rtv B@p B@n svcrefH13rtv B@p|n B@zlAttribute VB_Name = "SvcRefHeading" Public Sub MAIN() WordBasic.ToolsUnprotectDocu@ment Ba@bleSelf2c33c34c3567CharLeft( 30RP N@oReset, Type:=2 EndA xG}m}cH 8ME ""0@GranteeAddress1" B@ lH@uAttribute VB_Name = "GranteeAddress1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End xG}mcH %8ME ""0@GranteeClientID" B@ `lH@uAttribute VB_Name = "GranteeClientID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End xG}maGranteeLastName WorkerExtension PSGranteeFirstName"InsertCisAddress"RTecH 8ME ""0@granteelastname" B@ lH@~Attribute VB_Name = "GranteeLast" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="glnEnd xG}mccH 8ME ""0@workerextension" B@ mlH@xAttribute VB_Name = "WorkerExtension" Public Sub MAIN() dBasic.WW7_EditGoTo DestinaBtr:="weEnd xG}mec      !"#$%&')*+,-./0123456789:;<=>?@ABCDEFHH 8ME ""0@granteefirstname" B@ lH@Attribute VB_Name = "GranteeFirstL" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="g5fnEnd xG}micxmg(6 << < 8$*\Rffff*3f38cd0a1ah `0__P&P(P*xP,P.P0P2P4P6P8P:P<P>P@PBPDPFPHPJPLPNPPPRPTPVPX$$=Retrieves CIS Client address info from c:\glwin\cistowrd.ini %TemplateProject.InsertCisAddress.MAINME` " (08@HPX`hpx>BF`DBB8>@ FBHD FB Dh FBD@ DBDF`@B>0@p> :606h:>: :` > 2 : 2X 6 : 2 6@ :x 2 6 :( :h F F :8 6x 6 . 26P>: Z@ZXZpZZZZZZZZ0ZHZ`ZxZZZZZZZ Z8ZPZhZZ WorkerInfoNamec:\glwin\cistowrd.ini %Z' & WorkerInfoAreaCodec:\glwin\cistowrd.ini %Z' ( WorkerInfo PhoneNumberc:\glwin\cistowrd.ini %Z' * WorkerInfo CountyNamec:\glwin\cistowrd.ini %Z' , WorkerInfoDistrictc:\glwin\cistowrd.ini %Z' . WorkerInfoSectionc:\glwin\cistowrd.ini %Z' 0 WorkerInfoUnitc:\glwin\cistowrd.ini %Z' 2 WorkerInfoWorkerc:\glwin\cistowrd.ini %Z' 4ApWorkerDistrictNumberc:\glwin\cistowrd.ini %Z' 6ApWorker UnitNumberc:\glwin\cistowrd.ini %Z' 8ApWorker WorkerNumberc:\glwin\cistowrd.ini %Z' :FsWorkerDistrictNumberc:\glwin\cistowrd.ini %Z' <FsWorker UnitNumberc:\glwin\cistowrd.ini %Z' >FsWorker WorkerNumberc:\glwin\cistowrd.ini %Z' @SvWorkerDistrictNumberc:\glwin\cistowrd.ini %Z' BSvWorker UnitNumberc:\glwin\cistowrd.ini %Z' DSvWorker WorkerNumberc:\glwin\cistowrd.ini %Z' F ClientInfo FirstNamec:\glwin\cistowrd.ini %Z' H ClientInfoLastNamec:\glwin\cistowrd.ini %Z' J ClientInfo CaseNumberc:\glwin\cistowrd.ini %Z' L ClientInfo CountyNumberc:\glwin\cistowrd.ini %Z' N ClientInfoCareOfc:\glwin\cistowrd.ini %Z' P ClientInfoAddress1c:\glwin\cistowrd.ini %Z' R ClientInfoCityc:\glwin\cistowrd.ini %Z' T ClientInfoStatec:\glwin\cistowrd.ini %Z' V ClientInfoZipc:\glwin\cistowrd.ini %Z' X FirstName %\F FirstName H B@^gLastName %\FLastName J B@^gAddress1 %\FAddress1 R B@^g ClientCity %\F ClientCity T B@^g ClientState %\F ClientState V B@^g ClientZip %\F ClientZip X B@^g CaseNumber %\F CaseNumber L B@^g CountyNumber %\F CountyNumber N B@^gCareOf %\FCareOf P B@^g ApDistrict %\F ApDistrict 6 B@^gApUnit %\FApUnit 8 B@^gApWorker %\FApWorker : B@^g FsDistrict %\F FsDistrict < B@^gFsUnit %\FFsUnit > B@^gFsWorker %\FFsWorker @ B@^g SvDistrict %\F SvDistrict B B@^gSvUnit %\FSvUnit D B@^gSvWorker %\FSvWorker F B@^g FirstName2 %\F FirstName2 H B@^g LastName2 %\F LastName2 J B@^gGranteeFirstName %\FGranteeFirstName H B@^gGranteeLastName %\FGranteeLastName J B@^g WorkerName %\F WorkerName & B@^gDistrict %\FDistrict . B@^gSection %\FSection 0 B@^gUnit %\FUnit 2 B@^gWorker %\FWorker 4 B@^gAreaCode %\FAreaCode ( B@^g PhoneNumber %\F PhoneNumber * B@^g CountyName %\F CountyName , B@^glAttribute VB_Name = "InsertCisAddress" Public Sub MAI`N() ".DescriptionReeves CIS Client a info from c:\\glwin\\cistowrd`.ini wbProcDatanInvoke_FuncnTemplate"jec4t. .TDim Worker$ Are aCodePhoneNumberCountyDUrictS9{Uni 5 Ap Ap$Ap Fs FsIFs Sv SvSv,irsteLaCas ?c?nCarelOf5u1zCity St@gJZip&#q@dBasic.[GetPrivt fileSngP$](" I", "C "w4 HtG J i13 eg r Z ba a Q$   ʼnA 0c D A%_  & H_ D &fA &iC C?Mr &Pwa d YY%foYdjoonola_oOONoԊm Ffurul/Tz___"OH8ooo""lZ Rooo 41/:r OY "/.???"ONAw///" IfEx0QBookmark("7) ThenSetFormResult , V 6H9 "h%)",q??Q"OOnte%#ooa"OOn~t%#&"?>#SN_\, T+Basic.ExistingBookmark("CareOf") Then WordSetFormResult , ^$ 0 If^ApDrict*,  ecUni?!_&-+ke~r\-.Ffs, aF>sz FFs?<_ FSv3F , FSvF FSv d Pho@neNumb"i,  CountyQ}~0 End Sub  F    !"#$%&')*+,-./0123456789:;<=>?@ABCDESuperPhoneNumber"PROJECTVPROJECTwm(CompObjGjH sers8ME ""0@superphonenumber" B@ sFORMlH@Attribute VB_Name = "SuperPhoneNumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="spnEnd ID="{4E16D2FB-F8EC-11D3-8916-000502AE4D27}" Document=ThisDocument/&H00000000 Module=SuperPhoneNumber Module=InsertCisAddress Module=GranteeFirstName Module=WorkerExtension Module=GranteeLastName Module=GranteeClientID Module=GranteeAddress1 Module=AddChildInfoRow Module=WorkerAreaCode Module=SupervisorName Module=SuperExtention Module=AddSvcReferral Module=SvcRefHeading Module=SuperAreaCode Module=GranteeCareof Module=CoSuppaddress Module=CoPhoneNumber Module=ClearCaseInfo Module=NewParagraph Module=GranteeState Module=countynumber Module=WorkerPhone Module=GranteeCity Module=CoExtension Module=ClientState Module=WorkerName Module=GranteeZip Module=CountyName Module=CoAreaCode Module=ClientCity Module=CaseNumber Module=WorkerFax Module=RemoveRow Module=lastname2 Module=FirstName Module=CoAddress Module=ClientZip Module=RowBreak Module=LastName Module=District Module=CaseInfo Module=Address1 Module=Section Module=OtherID Module=NoReset Module=CoState Module=Correct Module=AddRows Module=Worker Module=MyInfo Module=Hidden Module=County Module=CoCity Module=CareOf Module=FaxAC Module=Date1 Module=CoZip Module=Unit Name="TemplateProject" HelpContextID="0" CMG="0200CDCDCBD1CBD1CBD1CBD1" DPB="0406CBD7CFD8D0D8D0D8" GC="0604C9D1C9D1CAD2CAD235" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 ThisDocumentThisDocumentSuperPhoneNumberSuperPhoneNumberInsertCisAddressInsertCisAddressGranteeFirstNameGranteeFirstNameWorkerExtensionWorkerExtensionGranteeLastNameGranteeLastNameGranteeClientIDGranteeClientIDGranteeAddress1GranteeAddress1AddChildInfoRowAddChildInfoRowWorkerAreaCodeWorkerAreaCodeSupervisorNameSupervisorNameSuperExtentionSuperExtentionAddSvcReferralAddSvcReferralSvcRefHeadingSvcRefHeadingSuperAreaCodeSuperAreaCodeGranteeCareofGranteeCareofCoSuppaddressCoSuppaddressCoPhoneNumberCoPhoneNumberClearCaseInfoClearCaseInfoNewParagraphNewParagraphGranteeStateGranteeStatecountynumbercountynumberWorkerPhoneWorkerPhoneGranteeCityGranteeCityCoExtensionCoExtensionClientStateClientStateWorkerNameWorkerNameGranteeZipGranteeZipCountyNameCountyNameCoAreaCodeCoAreaCodeClientCityClientCityCaseNumberCaseNumberWorkerFaxWorkerFaxRemoveRowRemoveRowlastname2lastname2FirstNameFirstNameCoAddressCoAddressClientZipClientZipRowBreakRowBreakLastNameLastNameDistrictDistrictCaseInfoCaseInfoAddress1Address1SectionSectionOtherIDOtherIDNoResetNoResetCoStateCoStateCorrectCorrectAddRowsAddRowsWorkerWorkerMyInfoMyInfoHiddenHiddenCountyCountyCoCityCoCityCareOfCareOfFaxACFaxACDate1Date1CoZipCoZipUnitUnit  FMicrosoft Word Document MSWo@ bjbjצצ  " "¾¾¾¾¾־[־&2R,)|$XR-¾eee¾¾eeee¾¾eeee¾¾e ee 0&eee־־¾¾¾¾¾eeeeeeeee־־$e־־ FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT (*8:<PR\^`tv "6jwihuRUjhhuRUj=68@BDXZhjl "$8:HJL`bprtjnhuRUjmhuRUjmhuRUjmhuRUj|lhuRUjkhuRUjCkhuR5U huR5jhuR5UjjhuRUhuRjhuRUj:jhuRU-(*8:<PR`bdxzjuhuRUjthuRUj?thuRUjshuRUjshuRUjYrhuRUjqhuRUUj?qhuRUjkphuRUhuRjhuRUjohuRU3       FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       "$&:<DFH\^hjl$&(<>HJL`bprtj{huRUj}zhuRUjzhuRUjyhuRUjyhuRUjLxhuRUjwhuRUjwhuRUjvhuRUhuRjhuRUjvhuRU2$Fj&Jr`_^]\[edXWVUcj?}huRUj|huRUj|huRUhuRjhuRUj{huRU/ =!"#$%Addressee's mail address (street address, PO Box, etc., where the mail will be delivered). ClientCityDCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)Address1D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)D ClientCity UppercaseEnter the Addressee's City. ClientStateD ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation. ClientZipD ClientZip UppercaseKEnter the Addressee's Zip Code (+4 if known) (Example: 48909 or 48909-7537)D CoAddress UppercaseaEnter the County's mail address (street address, PO Box, etc., where the mail will be delivered).D  CoAreaCode000Enter the County's Area Code CoPhoneNumberDCoCity UppercaseEnter the County's City.D CoExtensiond8(OJQJ_HkHmH sH tH VOV CoState1?d8(OJQJ_HkHmH sH tH bOb CoSuppaddress1@d8(OJQJ_HkHmH sH tH \O\ CountyName1Ad8(OJQJ_HkHmH sH tH ^"^ CountyNumberBd8(OJQJ_HkHmH sH tH VO2V CoZip1Cdt CJOJQJ_HkHmH sH tH ROBR Date11Dd8(OJQJ_HkHmH sH tH XRX District1Ed8(OJQJ_HkHmH sH tH PObP FaxAC Fd` CJOJQJ_HkHmH sH tH ZOrZ FirstName1Gd8(OJQJ_HkHmH sH tH \O\ FirstName21Hd8(OJQJ_HkHmH sH tH dOd GranteeAddress1 Id` CJOJQJ_HkHmH sH tH `O` GranteeCareof Jd` CJOJQJ_HkHmH sH tH \O\ GranteeCity Kd` CJOJQJ_HkHmH sH tH hOh GranteeClientIDLd8(5OJQJ_HkHmH sH tH hh GranteeFirstName1Md8(OJQJ_HkHmH sH tH fOf GranteeLastName1Nd8(OJQJ_HkHmH sH tH ^O^ GranteeState Od` CJOJQJ_HkHmH sH tH ZOZ GranteeZip Pd` CJOJQJ_HkHmH sH tH XOX LastName1Qd8(OJQJ_HkHmH sH tH ZO"Z LastName21Rd8(OJQJ_HkHmH sH tH VO2V OtherID1Sd8(OJQJ_HkHmH sH tH VBV Section1Td8(OJQJ_HkHmH sH tH bORb SuperAreaCode1Ud8(OJQJ_HkHmH sH tH dObd SuperExtension1Vd8(OJQJ_HkHmH sH tH hOrh SuperPhoneNumber1Wd8(OJQJ_HkHmH sH tH dOd SupervisorName1Xd8(OJQJ_HkHmH sH tH PP Unit1Yd8(OJQJ_HkHmH sH tH TT Worker1Zd8(OJQJ_HkHmH sH tH dOd WorkerAreaCode1[d8(OJQJ_HkHmH sH tH fOf WorkerExtension1\d8(OJQJ_HkHmH sH tH XOX WorkerFax ]d` CJOJQJ_HkHmH sH tH \O\ WorkerName1^d8(OJQJ_HkHmH sH tH ^O^ WorkerPhone1_d8(OJQJ_HkHmH sH tH ^O^ WorkerTitle1 `d` CJOJQJ_HkHmH sH tH ^^ countynumber ad` CJOJQJ_HkHmH sH tH XO"X District2 bd` CJOJQJ_HkHmH sH tH VO2V Section2 cd` CJOJQJ_HkHmH sH tH POBP Unit2 dd` CJOJQJ_HkHmH sH tH TORT Worker2 ed` CJOJQJ_HkHmH sH tH ^b^ Countynumber fd` CJOJQJ_HkHmH sH tH `r` Countynumber1 gd` CJOJQJ_HkHmH sH tH `O` Countynumber2 hd` CJOJQJ_HkHmH sH tH POP ***** id` CJOJQJ_HkHmH sH tH hOh GranteeFirstName2 jd` CJOJQJ_HkHmH sH tH  ?0/*****Address1CareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumber CoState CoSuppaddress County CountyName CountynumberCoZipDate1DistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2 OtherID!Section" SuperAreaCode#SuperExtension$SuperPhoneNumber%SupervisorName&Unit'Worker(WorkerAreaCode)WorkerExtension* WorkerFax+ WorkerName, WorkerPhone- WorkerTitle./***** Address11CareOf1 CaseNumber1 ClientCity1 ClientState1 ClientZip1 CoAddress1 CoAreaCode1CoCity1 CoExtension1CoPhoneNumber1CoState1CoSuppaddress1County CountyName1 Countynumber2CoZip1Date11 District2FaxAC FirstName1 FirstName21GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstName2GranteeLastName1 GranteeState GranteeZip LastName1 LastName21OtherID1Section2SuperAreaCode1SuperExtension1SuperPhoneNumber1SupervisorName1Unit2Worker2WorkerAreaCode1WorkerExtension1 WorkerFax WorkerName1 WorkerPhone1 WorkerTitle1(<Pdu!5FZn 1BVj~%9Mau 6*Lz@!"#6"*.15:<>@BEGgtvwz| , d Fv8BHnPJC2L f!"#$$&'D&6bNԭ԰r:$ !#$%&'()+,-/02346789;=?ACDFHIJK\]^_`abcdefhijklu{  &(4:<HNP\bdpsu!-35ADFRXZflnz} )/1=@BNTVbhjv|~#%179EKMY_amsuFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF/GranteeFirstNameAddress1CareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddressCounty CountyName CountynumberCoZipdate1DistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareOf GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerPhone WorkerTitle)=Qev"6G[o 2CWk&:Nbv  !"#$%&'()*+,-.';Oct 4EYm~0AUi}$8L`tuR@,q{(UnknownGz Times New Roman5Symbol3& z Arial?5 z Courier New;Wingdings"h0@?uRrdDocWord.Document.89q