ࡱ> hk g{ @ "G>bjbj d ~ .VVV8|L>}.N{pD/$&'MMMMMM${ORQM]S{{SSM?N S& S& *##} PT7IVi#&$UN0N#wRwR(#..wR#DSS SSSSSMM.. y ..CHILD S ADOPTIONChild s NameREFERRAL PACKET TRANSMITTAL FORMTEXT      Michigan Department of Human ServicesChild s BirthdateCase No. FORMTEXT       FORMTEXT      GENERAL INSTRUCTIONS: This transmittal is to be completed and sent by a private child placing agency or DHS local office with foster care responsibility for a child within 10 calendar days of receipt of information that an adoption agency or DHS local office has a family interested in adopting the child. REFERRING AGENCY INSTRUCTIONS: Complete this form and insert a date in the shaded area below, 21 calendar days from the date this transmittal is sent. Attach required documents listed below and send to receiving agency. RECEIVING AGENCY INSTRUCTIONS Respond to referring agency by date indicated below. RECEIVING AGENCY:Name of Agency Receiving Referral PacketAttention: FORMTEXT       FORMTEXT      Street AddressCityMIZip Code FORMTEXT       FORMTEXT       FORMTEXT      Attached to this transmittal are copies of: Order Terminating Parental Rights Order Committing to Agency or Department Releases, if appropriate Birth certificate or birth verification The childs adoption evaluation Available medical information on the child and birth parents The name and address of the childs current foster parents Report on preparation of the child for adoption Other documentation as requested by receiving agency As soon as possible, please notify me as to whether your interested family will be proceeding with an adoptive placement.DateIf I do not hear from you by FORMTEXT      , this referral packet will be sent to another agency with a familyinterested in adopting this child.REFERRING AGENCY:Agency NameAdoption Worker Signature FORMTEXT      Street AddressTelephone No. FORMTEXT       FORMTEXT      CityMIZip CodeDate FORMTEXT       FORMTEXT       FORMTEXT      AUTHORITY: P.A. 280 of 1939. RESPONSE: Is Voluntary. CONDEQUENCY FOR NONvx& ( < > @ J L N P d f h r t | & )  D h    " N T h j ~ jh3UU h3U5CJjh3UUj|h3UU h3U5jh3UUjh3UUh7jhUmHnHujrh3UUjh3UUh3U:"<>v MG'$IfOkd$$If940+4 9af4-$IfOkd$$If940+4 9af4$If*$If=F>] " $ & N v -$IfbkdX$$If94F +      4 9af4$Ifv x z |  YPCPP 0 & Fd$If 0d$If<kd:$$If94 ++4 9af4$Ifbkd$$If94F +      4 9af4 B D h j $If:kd$$If94++4 9af4 0 & Fd$If 0d$If 0 & Fd$If $ & D N T TNN@$d$Ifa$$IfOkdd$$If94 0+4 9af4 -dx$IfOkd$$If940+4 9af4T f h xxxx -dx$Ifukd$$If94\#%+ `v4 9af4$If NZ  ",.pr h3U5CJjh3UUj h3UUjh3UUhQ]h8j h3UU h3UCJjh3UU h3U5jhUmHnHujAh3UUjh3UUh3U6 AjCsyffffffff0 & F h$If^0$If 0 & F$Ifukd) $$If94 \#%+  4 9af4 sFHJLNXZ^<kdj $$If94++4 9af4$If:kd $$If94++4 9af4 0 & F$If0$If0 & F h$If^ Z\Fztn0$If-$If 0 & F$If{kd $$If94F d+- p7     4 9af4pFHx=7$If:kd $$If94++4 9af4 0h$If^h}kd9 $$If94F d+- p7     4 9af4p{{$If:kd $$If94++4 9af40$If<kd\ $$If94 ++4 9af4024RnTNN$IfOkd$$If94 0+4 9af4 -dx$IfOkd$$If940+4 9af4npTN@N$d$Ifa$$IfOkd$$If94 0+4 9af4 -dx$IfOkd$$If940+4 9af4Bjxxxx -dx$Ifukd$$If94\ + `+4 9af4$If 024>@BDXZ\fh<<============>>>D>E>F>G>LLL&L(L{jhpqUhpqjhpqUhMhLh7hh/ h7h7h8h3U^JaJh8 hB:h8UjYh3UUjh3UUjhUmHnHujqh3UUjh3UUh3U0jlnpF:0  $If  $If<kd $$If94++4 9af4$Ifukd$$If94 \ +  +4 9af4-COMPLETION: None.Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, 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 area. DHS-4748 (Rev. 11-08) Previous edition obsolete. MS Word DISTRIBUTION: COPIES Receiving Agency & Referring Agency Record <===>D>E>F>G>(LPLxLLL~|z7654i  gd7  gd7Mkdf$$If940+4 9af4 $$Ifa$gdjp+  $If.&P:p7/ =!"#$@%@p$$If!vh55#v:V 945/  44 9f4tD-Text1p$$If!vh55#v:V 945/ 44 9f4$$If!vh55 5 #v#v :V 9455 /  / 44 9f4D date1#Enter the Date (Example: 4/12/1997)D CaseNumber UPPERCASE/Enter the Case Number (Example: V1234567A,B,C)$$If!vh55 5 #v#v :V 9455 / / / 44 9f4Z$$If!vh5+#v+:V 94 5+44 9f4V$$If!vh5+#v+:V 945+44 9f4$$If!vh55#v:V 945/  /  / 44 9f4tD-Text4tD-Text4$$If!vh55#v:V 94 5/ / /  44 9f4$$If!vh55 5v5#v#v #vv#v:V 94+55 5v5/  / / /  44 9f4tD-Text4tDText3tD Text5$$If!vh55 5v5#v#v #vv#v:V 94 +55 5 5/ /  / / / 44 9f4V$$If!vh5+#v+:V 945+44 9f4Z$$If!vh5+#v+:V 945+44 9f4$$If!vh5- 5p57#v- #vp#v7:V 94 5- 5p5744 9f4pD date1#Enter the Date (Example: 4/12/1997)$$If!vh5- 5p57#v- #vp#v7:V 94 5- 5p57/ 44 9f4pV$$If!vh5+#v+:V 945+44 9f4Z$$If!vh5+#v+:V 94 5+44 9f4V$$If!vh5+#v+:V 945+44 9f4$$If!vh55#v:V 945/  / / 44 9f4tD-Text4$$If!vh55#v:V 94 5/ / / 44 9f4~$$If!vh55#v:V 945/  / 44 9f4tD-Text4tD-Text4$$If!vh55#v:V 94 5/ / / 44 9f4$$If!vh5 55+5#v #v#v+#v:V 94+5 55+5/ / / /  44 9f4tDText2tD Text6D date1#Enter the Date (Example: 4/12/1997)$$If!vh5 55+5#v #v#v+#v:V 94 +5 5 5+5/ / / / / / 44 9f4Z$$If!vh5+#v+:V 945+44 9f4$$If!vh55#v#v:V 9455/ /  / 44 9f488@8 Normal_HmH sH tH BB Heading 3 $<5CJDAD Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List PP BLANKLINEdx5CJOJQJkHTT Captions 6ptd(CJ OJQJkHDD Captions 6pt bold5`"` Captions 6pt boxd<5CJ OJQJkHD2D Captions 6pt Nbox<DBD Captions 7pt dtCJDARD Captions 7pt Bold5BqbB Captions 7pt box5^r^ Captions 7pt NBoxdt<CJOJQJkHPOP Captions 8pt d`CJOJQJkH^^ Captions 8pt Bold d`5CJOJQJkHFF Captions 8pt box <DD Captions 8pt NboxPPP Captions 9pt dLCJOJQJkHJJ Captions 9pt BolddLCJFF Captions 9pt Box dDD Captions 9pt Nbox5PP Captions 10pt d`( OJQJkH^^ Captions 10pt Bold!d`(5OJQJkHX"X Captions 10pt box"d`P OJQJkHH2H Captions 10pt Nbox#P5J BJ Footer$dt !CJOJQJkHRRR Form Title 10pt%$d8a$ OJQJkH^b^ Form Title 10pt Bld&$d8a$5OJQJkHVOrV Form Title 11pt'$d$a$CJOJQJkHLaL Form Title 11pt Bld(d$CJVV Form Title 12pt)$da$CJOJQJkHbOb Form Title 12pt Bld*$da$5CJOJQJkH44 Header + !HH Small Blank Line ,CJXOX User Input 10pt-d8(5OJQJkHTT User Input 11pt.d$5CJOJQJkH\\ User input 12pt/d((5CJOJQJkHTOT Letter Text 10pt0$d$a$ OJQJkHFF Letter Text 11pt1dCJX"X Letter Text 12pt2$da$CJOJQJkHL2L Captions 10pt 2 line 3<FBF Date 08pt45CJOJQJkH6AR6 Date 09pt5CJ6Ab6 Date 10pt6CJ2ar2 Date 11pt7CJG B;OPv!"45^ij~AjCs#$%&',-.K_)78L`afirwx  D E H *0 0 0$ *0 -0 0$ '0 0 0 0$ -0 -0 -0 0$ 0 0$ 00  00 00 00  00  00 00 00  00 00 00 0$ 0 0 0$ -0p -0p 0t 0 0 0 0 0$ -0p -0p  -0p -0p 0t  00 00  00  00  00  00  00  00  00  00  00 00  00 0$ 0 0$ 00 00 00 0$  00 -0 00 0$ 00 0$ 0 0$ 00 0$ 0 0 0$ -0p -0p 0t 0 0 0$ -0p -0p 0t 0 0 0 0 0$ -0p  -0p -0p -0p 0t 0 0$ 0 0 0 @00$ @0@0@00$y H @00` *00@ @00` *00@  0"}}};GMjv|~KW]8DJLX^xG FTFTFTFTFTFTFTFTFTFTFTFTFTFTFT8@0(  B S  ?Text1 CaseNumberText4Text3Text5date1Text2Text6<kLyH N}^H E H  E H ;Nj}~K^8KL_x E H  E H SJ +4' 5_h6 = M0B0BV?L0B0BV@K0B0BVAJ0B0BVBI0B0BVCH0B0BVDG0B0BVEF0B0BVFE0B0BVGD0B0BVHC0B0BVIB0B0BVJ0B  Spell Check Spell CheckfQ+fQ+fQ+fQ+fQ+ 0(  Spell CheckForms Spell Check2Module1.FormsSpellCheck2g|(TemplateProject.Module1.FormsSpellCheck2%TemplateProject.SuperPhoneNumber.MAIN%TemplateProject.InsertCisAddress.MAIN%TemplateProject.GranteeFirstName.MAIN$TemplateProject.WorkerExtension.MAIN$TemplateProject.GranteeLastName.MAIN$TemplateProject.GranteeClientID.MAIN$TemplateProject.GranteeAddress1.MAIN$TemplateProject.AddChildInfoRow.MAIN#TemplateProject.WorkerAreaCode.MAIN#TemplateProject.SupervisorName.MAIN#TemplateProject.SuperExtention.MAIN#TemplateProject.AddSvcReferral.MAIN"TemplateProject.SvcRefHeading.MAIN"TemplateProject.SuperAreaCode.MAIN"TemplateProject.GranteeCareof.MAIN"TemplateProject.CoSuppaddress.MAIN"TemplateProject.CoPhoneNumber.MAIN"TemplateProject.ClearCaseInfo.MAIN!TemplateProject.NewParagraph.MAIN!TemplateProject.GranteeState.MAIN!TemplateProject.countynumber.MAIN TemplateProject.WorkerPhone.MAIN TemplateProject.GranteeCity.MAIN TemplateProject.CoExtension.MAIN TemplateProject.ClientState.MAINTemplateProject.WorkerName.MAINTemplateProject.GranteeZip.MAINTemplateProject.CountyName.MAINTemplateProject.CoAreaCode.MAINTemplateProject.ClientCity.MAINTemplateProject.CaseNumber.MAINTemplateProject.WorkerFax.MAINTemplateProject.RemoveRow.MAINTemplateProject.lastname2.MAINTemplateProject.FirstName.MAINTemplateProject.CoAddress.MAINTemplateProject.ClientZip.MAINTemplateProject.RowBreak.MAINTemplateProject.LastName.MAINTemplateProject.District.MAINTemplateProject.CaseInfo.MAINTemplateProject.Address1.MAINTemplateProject.Section.MAINTemplateProject.OtherID.MAINTemplateProject.NoReset.MAINTemplateProject.CoState.MAINTemplateProject.Correct.MAINTemplateProject.AddRows.MAINTemplateProject.Worker.MAINTemplateProject.MyInfo.MAINTemplateProject.Hidden.MAINTemplateProject.County.MAINTemplateProject.CoCity.MAINTemplateProject.CareOf.MAINTemplateProject.FaxAC.MAINTemplateProject.Date1.MAINTemplateProject.CoZip.MAINTemplateProject.Unit.MAIN;TEMPLATEPROJECT.UNIT.MAINTEMPLATEPROJECT.COZIP.MAINTEMPLATEPROJECT.DATE1.MAINTEMPLATEPROJECT.FAXAC.MAINTEMPLATEPROJECT.CAREOF.MAINTEMPLATEPROJECT.COCITY.MAINTEMPLATEPROJECT.COUNTY.MAINTEMPLATEPROJECT.HIDDEN.MAINTEMPLATEPROJECT.MYINFO.MAINTEMPLATEPROJECT.WORKER.MAINTEMPLATEPROJECT.ADDROWS.MAINTEMPLATEPROJECT.CORRECT.MAINTEMPLATEPROJECT.COSTATE.MAINTEMPLATEPROJECT.NORESET.MAINTEMPLATEPROJECT.OTHERID.MAINTEMPLATEPROJECT.SECTION.MAIN TEMPLATEPROJECT.ADDRESS1.MAIN!TEMPLATEPROJECT.CASEINFO.MAIN"TEMPLATEPROJECT.DISTRICT.MAIN#TEMPLATEPROJECT.LASTNAME.MAIN$TEMPLATEPROJECT.ROWBREAK.MAIN%TEMPLATEPROJECT.CLIENTZIP.MAIN&TEMPLATEPROJECT.COADDRESS.MAIN'TEMPLATEPROJECT.FIRSTNAME.MAIN(TEMPLATEPROJECT.LASTNAME2.MAIN)TEMPLATEPROJECT.REMOVEROW.MAIN*TEMPLATEPROJECT.WORKERFAX.MAIN+TEMPLATEPROJECT.CASENUMBER.MAIN,TEMPLATEPROJECT.CLIENTCITY.MAIN-TEMPLATEPROJECT.COAREACODE.MAIN.TEMPLATEPROJECT.COUNTYNAME.MAIN/TEMPLATEPROJECT.GRANTEEZIP.MAIN0TEMPLATEPROJECT.WORKERNAME.MAIN1 TEMPLATEPROJECT.CLIENTSTATE.MAIN2 TEMPLATEPROJECT.COEXTENSION.MAIN3 TEMPLATEPROJECT.GRANTEECITY.MAIN4 TEMPLATEPROJECT.WORKERPHONE.MAIN5!TEMPLATEPROJECT.COUNTYNUMBER.MAIN6!TEMPLATEPROJECT.GRANTEESTATE.MAIN7!TEMPLATEPROJECT.NEWPARAGRAPH.MAIN8"TEMPLATEPROJECT.CLEARCASEINFO.MAIN9"TEMPLATEPROJECT.COPHONENUMBER.MAIN:"TEMPLATEPROJECT.COSUPPADDRESS.MAIN;"TEMPLATEPROJECT.GRANTEECAREOF.MAIN<"TEMPLATEPROJECT.SUPERAREACODE.MAIN="TEMPLATEPROJECT.SVCREFHEADING.MAIN>#TEMPLATEPROJECT.ADDSVCREFERRAL.MAIN?#TEMPLATEPROJECT.SUPEREXTENTION.MAIN@#TEMPLATEPROJECT.SUPERVISORNAME.MAINA#TEMPLATEPROJECT.WORKERAREACODE.MAINB$TEMPLATEPROJECT.ADDCHILDINFOROW.MAINC$TEMPLATEPROJECT.GRANTEEADDRESS1.MAIND$TEMPLATEPROJECT.GRANTEECLIENTID.MAINE$TEMPLATEPROJECT.GRANTEELASTNAME.MAINF$TEMPLATEPROJECT.WORKEREXTENSION.MAING%TEMPLATEPROJECT.GRANTEEFIRSTNAME.MAINH%TEMPLATEPROJECT.INSERTCISADDRESS.MAINI%TEMPLATEPROJECT.SUPERPHONENUMBER.MAINJ(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2@ HM(MHHXG pp@p p@pppx@UnknownG: Times New Roman5Symbol3& : Arial?5 z Courier New"h҆҆ѦuSuSr c#r4d 3QH?6DHS-4748, Child's Adoption Referral Packet Transmittalcompbushd2(       kL@LNormal#CJ OJQJ_HmHnHsH tH uDAD Default Paragraph FontViV  Table Normal :V 44 la (k(No List VV AddreOh+'0 $0 L X d p|8DHS-4748, Child's Adoption Referral Packet Transmittalcomp DHS-4748bushd22Microsoft Word 10.0@@md}@DL,I@DL,IuS՜.+,00 hp  State of Michigan  7DHS-4748, Child's Adoption Referral Packet Transmittal Title  !u#$%&'()*+,./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVXYZ[\]^`abcdefijx}mnopqrstuvwyz{|~Root Entry F0Y7IlData "g91Table-WordDocumentdSummaryInformation(WDocumentSummaryInformation8_MacrosLJp7I`7IVBAp7I`7Idir Unit  3CoZip BDate1  Q  !"#$%&'()*+,-./012456789:;<=>?@ACDEFGHIJKLMNOPRSTUVWXYZ[\]^_abcdefghijklmnpqrstuvwxyz{|}0* pHdTemplateProjectQH@  = | ^"9 J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\e2.tlb#OLE Automation0MSForms>SFFrms3ED452EE1-E08F-101A-8-02608C4D0BB4EFM20.DLL#Microsoft : ^ Ob Library/;D~1u00}#0#k0 B11B0288-DD3E-49B5-A37E-2A97CC021D66DOCUME~1\bushd2\LOCALS\VBE\T.exd;@!.E .`M OfficOf@ic 12DF8D04C-5BFAgB-BDER5IAA42ggram Files\CommonhShared\ 105Op 8.0p@%<5»ThisDocumentG T@i"Dcuen@ 2 (HB1%XB,!5""+SuperPhoneNumberG `p@-(rP o`eNbr2(r 5!iInsertCisAddresscIBstC)Ad e +scmc}o@9*pGranteeFirstNameUcGateiNab?cmc}**lWorkerExtens@GW@Rrk+ExRASs,Av 2?"UӰ"La*D"L() )Ea)Cli|IDc) Ci*}IDT [t41_ eK41[ _ _ QI_ PChildInfoXRowS s CSl>!3A0>e)C d`[2r1_*aMo@e3)^ ^viXsorsH S]vSo0 7HQ [ _>rPaKQh ޭ GGGtG V _ 1 Q(SvcReferraFl $SvR0f0r0a= (X _e0r!l '  PcHeadihngG0 Hՠ a $i`gg.N2/* 1 'o1 % u- Q? $aCY`of3=Zae ;f4* /roPE Co7pa1kC1p"das`+ /% `j A- ( /!# ClearCasebrAWrTaeub ) qaC`% 9 NewParaphN"FwPqag@&a-h@&? `9  GranteeSt@ateGranteSa,2^H 1F(,d5! +countynumberco uyumbr //)#G:I MWorkerPhonIrkC(Phn 2FEFڠCityG0G CiyFFc#CP#CoExtensionEC#C@CExns@#omF C#  c#AQ#lienFt_Cl@ e@ tFC E#+ c#OL# ƍNamNmK 2U !M!ZipGBˀZ$pE'1a{KCb{!?%{!_'1IAreaCod2 ZAhe`2ad2Co%-WPy>Ux2CU!_'U%UaXseN$aweN஧&/+S eFaPxGeF@3xT2?!Q0RemoveRow#RAmvRw$#/ q_0lastn 2#ls`n2$#  1]FirstC:QFAr t awefGo?[P7ddress3Q9dd":s~q foY6S19R<`W9cg/0(B@JkG'B4Jk 92?%M?(eL0( L$(Z5=cDistricZtsD'/rpc`05=aCMPInfoCreIf5S=YojA/1A..1?5= m%Sect]Ni ns2__k_OthePrIDGBOhrDTS #__i_N`oRese% N0[stTS _u5w_M4QJCoS _u_PrrArD4SW_y`s_,K[C*ss`,S _ҁq\`+3ښGrW`2MyBqMy?XB'A}Hidde HPpa / 1,({:!p+(8CountyG ,ountyt2:ZH 1% yCi oCi oo#oo areOfoareOfo777FaxACG axAC6 2 44Date14D4tl14 4cPCoZipCCZlpDCcLUnitGOUA”2 @ModulAN3dlDOl2Ob@vͽ \c5 :xMEH 8 " 0Unit  B@oXPiAttribute VB_Name = "Unit" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:=Endv \c5:xMEH 8 " 0cozip  B@oXPoAttribute VB_Name = "CoZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cDozEndx \c5:xMEH 8 " 0date1  B@oXPlAttribute VB_Name = "Date1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="dEndx FaxAC `CareOf oCoCity~County \c5:xMEH 8 " 0FaxAC  B@oXPjAttribute VB_Name = "FaxAC" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx \c5:xMEH 8 " 0careof  B@oXPqAttribute VB_Name = "CareOf" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="coEndz \c5:xMEH 8 " 0cocity  B@oXPpAttribute VB_Name = "CoCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cocEndz \c5y:x0MEH 8 " 0county  B@oXPnAttribute VB_Name = "County" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=""cEndz 5{:xMEHiddenqMyInfo-3WorkerAddRowsq @p(Makes the selection hidden text (toggle)TemplateProject.Hidden.MAINh "10 0 pt0 pt0bArial B@ophxAttribute VB_Name = "Hidden" Public Sub MAIN(X) D.nDescription|Makes the selec,h text (toggle)Pro cDataWInvoke_FuncWTemplaTte"jV..JWordBasic.FormatFont Points:="10", Underline:=0, Color@:=9, SkeThrough SuperjFb<:=1mallCap1)ASpacinBg=0 pt>PosiKernMinTabd ArialBoldIIta End \c5:xME{'5}:xME @`Enter Personal InformationTemplateProject.MyInfo.MAIN@ PZP\zP&P^0P`PbPdPf8Phs:PjPlPnPpPrPtPvPxPzP|P~`* h " (08@HPX`hpx &((8*`&(&&(0&X$&$$& $H&p&(N$8$`&&*$"00XT$$0P p <468P686406h846 4H 2 2 4 2( 4` : : 2 P h & 4 6 8 6X 8 6 4 68 8p 4 6 42P24240:h: "02@4x242 0X2402(0`..0. 0P66 ":>XB>F 2h:>6 6X.2::82x62B Fh 4 2 &  (H *p .  2 4(` h x ]]]]]]]](]@]X]p]]]]]]]]0]H]`DEFINE DIALOG BOXF,MyInfo B@"lm ^YourName B@$m8^ YourTitle B@$mP^ YourOffice B@$mi^ YourAddress B@$lxYourCity B@$T( YourState B@$FYourZip B@$n(AreaCode B@$P YourPhone B@$<YourExt B@$r(FAXAC B@$PYourFax B@$(YourCO B@$(YourDI B@$(YourSEC B@$T(YourUN B@$(YourWKR B@$m^BossName B@$m^ BossTitle B@$k  /Enter the following information about yourself. B@d#2 Name: B@d;2 Title: B@dR< Office: B@dkU Address: B@d City-ST-Zip: B@d7 Phone: B@d>% FAX: B@dCO-DI-SEC-UN-WKR: B@dK 6Enter the following information about your supervisor. B@d2 Name: B@d 2 Title: B@d X B@&"X B@ B@(]xF !,!..*6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoName MYINFO.ini %X *(UserInfoTitle MYINFO.ini %X *(UserInfoAreaCode MYINFO.ini %X *(&UserInfoPhone MYINFO.ini %X *(UserInfoYourExt MYINFO.ini %X *(`UserInfoFaxAC MYINFO.ini %X *(bUserInfoFax MYINFO.ini %X *(dUserInfoOffice MYINFO.ini %X *(UserInfoAddress MYINFO.ini %X *(UserInfoCity MYINFO.ini %X *(UserInfoState MYINFO.ini %X *(UserInfoZip MYINFO.ini %X *(UserInfoCO MYINFO.ini %X *(UserInfoDI MYINFO.ini %X *(UserInfoSEC MYINFO.ini %X *(UserInfoUN MYINFO.ini %X *(UserInfoWKR MYINFO.ini %X *(UserInfo Boss Name MYINFO.ini %X *(zUserInfo Boss Title MYINFO.ini %X *(|,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT * !B%.'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoName *! MYINFO.ini B@DUserInfoTitle *! MYINFO.ini B@DUserInfoAreaCode *!& MYINFO.ini B@DUserInfoPhone *! MYINFO.ini B@DUserInfoYourExt *!` MYINFO.ini B@DUserInfoFaxAC *!b MYINFO.ini B@DUserInfoFax *!d MYINFO.ini B@DUserInfoOffice *! MYINFO.ini B@DUserInfoAddress *! MYINFO.ini B@DUserInfoCity *! MYINFO.ini B@DUserInfoState *! MYINFO.ini B@DUserInfoZip *! MYINFO.ini B@DUserInfoCO *! MYINFO.ini B@DUserInfoDI *! MYINFO.ini B@DUserInfoSEC *! MYINFO.ini B@DUserInfoUN *! MYINFO.ini B@DUserInfoWKR *! MYINFO.ini B@DUserInfo Boss Name *!z MYINFO.ini B@DUserInfo Boss Title *!| MYINFO.ini B@DGet user info from INI fileUserInfoName MYINFO.ini %X' ZUserInfoTitle MYINFO.ini %X' \UserInfoAreaCode MYINFO.ini %X' &UserInfoPhone MYINFO.ini %X' ^UserInfoYourExt MYINFO.ini %X' `UserInfoFaxAC MYINFO.ini %X' bUserInfoFax MYINFO.ini %X' dUserInfoOffice MYINFO.ini %X' fUserInfoAddress MYINFO.ini %X' hUserInfoCity MYINFO.ini %X' jUserInfoState MYINFO.ini %X' lUserInfoZip MYINFO.ini %X' nUserInfoCO MYINFO.ini %X' pUserInfoDI MYINFO.ini %X' rUserInfoSEC MYINFO.ini %X' tUserInfoUN MYINFO.ini %X' vUserInfoWKR MYINFO.ini %X' xUserInfo Boss Name MYINFO.ini %X' zUserInfo Boss Title MYINFO.ini %X' | Update Form with user info WorkerName %ZG workerName Z B@\j WorkerTitle %ZG WorkerTitle \ B@\jWorkerAreaCode %ZGWorkerAreaCode & B@\j WorkerPhone %ZG WorkerPhone ^ B@\jWorkerExtension %ZGWorkerExtension ` B@\jFaxAC %ZGFaxAC b B@\j WorkerFax %ZG WorkerFax ~ B@\j Countynumber %ZG Countynumber p B@\jDistrict %ZGDIstrict r B@\jSection %ZGSECtion t B@\jUnit %ZGUNit v B@\jWorker %ZGWorker x B@\j CountyName %ZG CountyName f B@\j CoAddress %ZG CoAddress h B@\jCoCity %ZGCoCity j B@\jCoState %ZGCoState l B@\jCoZip %ZGCoZip n B@\jSupervisorName %ZGSupervisorName z B@\jSupervisorTitle %ZGSupervisorTitle | B@\j. 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 = 0d FileClose 2 SelectName = - 1kho`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$k()D|ue`"GEditGoTo "Ct : Unlink'Granteefirst3"ToolsProtDocum .Noet`1, .TypeM@2/ .= 2 `0 Else#FileClose D Gc.@- 1n@d If Sub H 8 " 0worker  B@oXPlAttribute VB_Name = "Worker" Public Sub MAIN() tdBasic.WW7_EditGoTo Destination:="wEndz {5q:xME @p+Adds row to table FOLLOWING cursor locationTemplateProject.AddRows.MAINh "0@ B@X B@UseroH@Attribute VB_Name = "AddRows" Public Sub MAIN() D.pDescription~s row to table FOLLOWING cursor loca\NProcDataZInvoke_FuncZTemplateA"ject..KWordBasic.LineDown 1 TInserBt Numt:D="Ends t{s5s:xMECorrectCoStateModule1NoReset'/`  @N D PU  " V*h    ]@Q This serves as a replacement to the spell checker within a protected documentCheck spelling now? %P'N N B@j| B@R` B@Tzl B@xko0Attribute VB_Name = "Correct" Public Sub MAIN() Dim ans Rem This se@rves a replacement to the spell checker within @a proted docu3 ZWordBasic.MsgBox("C?King now ?", 3If4-1en  QATools4UnoDi %St`artOf"S7d>0Pg NoReset:=1, Type:=2 End If \c5u:xMEH 8 "(8costate  B@xoPHqAttribute VB_Name = "CoState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cosEnd| \5xME(<<< <h       !"#$%&()*+,-./012345789:;<=>?@ABCDFGHIKMOPQRSTUVWXYZ[\^_`abcdefghijkmnopqrstuvwxyz|}~ Xat%"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it.t ! cladd87 B@ic kPerform Spelling/Grammar check. (  ! !( !B@  ReProtect the document. ! cladd87z l B@koAttribute VB_Name = "Module1" Sub FormsSpellCheck2() Dim x As wdNo Then  9ZPassword:="c@ladd87E nd If'P(erf ing/Gramma8r clK.Op2tBs.vWi thFalse EachIn JsZx.Range.iof>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, N oRese&, o:=wdAllowOnlyAbAAe\co5w:xMEH 8 " <H hx8 This saves as a form without resetting the form fields.zl B@xoAttribute VB_Name = "NoReset" Public Sub MAIN() Rem This saves a form without rztin g the4fields. WordBasic.ToolsProtectDocument ~:=1, Ty pe:=2End \c5i:OtherID'Section6__SRP_0__SRP_1E.xMEH 8 "(8otherid  B@oPHsAttribute VB_Name = "OtherID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=$"oidEnd| \c5k:xMEH 8 "(8Section  B@oPHjAttribute VB_Name = "Section" Public Sub MAIN() WordBasic.WW7_EditGoTo Desti$nar:=End| rU K*srU~~~~~~~~k i 貚XM@y=  < Aq 9a)Qy 1Yy9Yy9Yy)AYq !9Q Y i I i y ThisDocumentSuperPhoneNumberInsertCisAddressGranteeFirstNameWorkerExtensionGranteeLastNameGranteeClientIDGranteeAddress1AddChildInfoRowWorkerAreaCodeSupervisorNameSuperExtentionAddSvcReferral SvcRefHeading SuperAreaCode GranteeCareof CoSuppaddress CoPhoneNumber ClearCaseInfo NewParagraphCareOf GranteeState countynumber WorkerPhone GranteeCity CoExtension ClientState WorkerName GranteeZip CountyName CoAreaCode ClientCity CaseNumber WorkerFax RemoveRow lastname2 FirstName CoAddress ClientZipRowBreakLastNameDistrictCaseInfoAddress1SectionOtherIDNoResetCoStateCorrectAddRowsWorkerMyInfoHiddenCountyCoCityFaxACDate1CoZipUnitTemplateProjectF@C:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6.DLLVBA  I 0 F5C:\Program Files\Microsoft Office\Office10\MSWORD.OLBWord  Q @0FC:\WINDOWS\system32\stdole2.tlbstdole  1 P.E .`M C:\WINDOWS\system32\FM20.DLLMSForms  Q `>ݵI~*d 0C:\DOCUME~1\bushd2\LOCALS~1\Temp\VBE\MSForms.exd  Q pL-[DR?C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLLOffice  aMAIN Module1trU~| krU $`n\c5m:__SRP_2JT__SRP_3LgAddress1NCaseInfo#!xMEH 8 "(8Address1  B@oPHnAttribute VB_Name = "Address1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:"= End~ \c5a:xS5o:xME @`bEnter Personal InformationTemplateProject.CaseInfo.MAINx@ PPPVPP P  PMPUP@ e`* Pc " (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 ]]]]]]]]0]H]`]xOPEN 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@d# FC Case No.: B@d; FC Case Name: B@dR FC Load No.: B@dk FC Worker Name: B@d PS Case No.: B@d PS Case Name: B@d Household Ass'd Last: B@d Household Ass'd First: B@d Date Completed: B@d,X B@& B@(]F !,!..*6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoFCCaseNoC:\Windows\CaseInfo.ini %X *(0UserInfo FCCaseNameC:\Windows\CaseInfo.ini %X *(2UserInfoFCLoadNoC:\Windows\CaseInfo.ini %X *(4UserInfo FCWorkerNameC:\Windows\CaseInfo.ini %X *(6UserInfoPSCaseNoC:\Windows\CaseInfo.ini %X *(8UserInfo PSCaseNameC:\Windows\CaseInfo.ini %X *(:UserInfo HouseholdLastC:\Windows\CaseInfo.ini %X *(<UserInfoHouseholdFirstC:\Windows\CaseInfo.ini %X *(>UserInfo DCompletedC:\Windows\CaseInfo.ini %X *(@,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT * !B%.'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoFCCaseNo *!0C:\Windows\CaseInfo.ini B@DUserInfo FCCaseName *!2C:\Windows\CaseInfo.ini B@DUserInfoFCLoadNo *!4C:\Windows\CaseInfo.ini B@DUserInfo FCWorkerName *!6C:\Windows\CaseInfo.ini B@DUserInfoPSCaseNo *!8C:\Windows\CaseInfo.ini B@DUserInfo PSCaseName *!:C:\Windows\CaseInfo.ini B@DUserInfo HouseholdLast *!<C:\Windows\CaseInfo.ini B@DUserInfoHouseholdFirst *!>C:\Windows\CaseInfo.ini B@DUserInfo DCompleted *!@C:\Windows\CaseInfo.ini B@DGet user info from INI fileUserInfoFCCaseNoC:\Windows\CaseInfo.ini %X' UserInfo FCCaseNameC:\Windows\CaseInfo.ini %X' UserInfoFCLoadNoC:\Windows\CaseInfo.ini %X' UserInfo FCWorkerNameC:\Windows\CaseInfo.ini %X' UserInfoPSCaseNoC:\Windows\CaseInfo.ini %X' UserInfo PSCaseNameC:\Windows\CaseInfo.ini %X' UserInfo HouseholdLastC:\Windows\CaseInfo.ini %X' UserInfoHouseholdFirstC:\Windows\CaseInfo.ini %X' UserInfo DCompletedC:\Windows\CaseInfo.ini %X'  Update Form with user infoFCCASENO %ZGFCCASENO  B@\j FCCASENAME %ZG FCCASENAME  B@\jFCWORKERLOADNO %ZGFCWORKERLOADNO  B@\j FCWORKERNAME %ZG FCWORKERNAME  B@\jPSCASENO %ZGPSCASENO  B@\j PSCASENAME %ZG PSCASENAME  B@\jHOUSEHOLDASSESSEDLST %ZGHOUSEHOLDASSESSEDLST  B@\jHOUSEHOLDASSESSEDFST %ZGHOUSEHOLDASSESSEDFST  B@\j DATECOMPLETED %ZG DATECOMPLETED  B@\j. Update other Form Fields on Form & Exit Macrod B@F'kxophmAttribute 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?!DATECOMPLET?@ACDEFGHIJKLMNOPRSTUVWXYZ[\]^_abcdefghijklmnpqrstuvwxyz{|}xMEH 8 "(8 clientcity  B@oPHuAttribute VB_Name = "ClientCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="ccEnd \c5W:xMEH 8 "(8 coareacode  B@oPHxAttribute VB_Name = "CoAreaCode" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="coa"cEnd \c5I:xCountyNameGranteeZip,.$WorkerName3ClientState+3BMEH 8 "(8 countyname  B@oPHuAttribute VB_Name = "Countyh" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=4"cnEnd \c5K:xMEH 8 "(8 GranteeZip  B@oPHpAttribute VB_Name = "GranteeZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End \c5M:xMEH 8 "(8 workername  B@oPHtAttribute VB_Name = "Workerh" Public Sub MAIN() dBasic.WW7_EditGoTo Destination:="wnEnd \c5O:xMEH 8 "(8 clientstate  B@oPHvAttribute VB_Name = "ClientState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinati@on:="csEnd \c5A:xMEH CoExtensionQGranteeCity02`WorkerPhoneocountynumber15~8 "(8 coextension  B@oPHtAttribute VB_Name = "CoExtension" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatr@:="coeEnd \c5C:xMEH 8 "(8 GranteeCity  B@oPHqAttribute VB_Name = "GranteeCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End \c5E:xMEH 8 "(8 workerphone  B@oPHuAttribute VB_Name = "WorkerPhone" Public Sub MAIN() dBasic.WW7_EditGoTo DestinationP:="wpEnd \c5G:( )    !"#$%&'3*+,-./1D24C56789:;<=>?@ABEOUFGHIJKLMNPXQRSTVWiZ[\]^_`abcdefghjklmnopqrstvwxyz|}~xMEH 8 "(8 Countynumber  B@oPHtAttribute VB_Name = "countynumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="C End \c55xGranteeStateNewParagraph46^ThisDocument_VBA_PROJECT/? :MEH 8 "(8 GranteeState  B@oPHrAttribute VB_Name = "GranteeState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:= End \c55xMEH 8 " (@`px B@ B@j $ B@tzl B@x B@oŰAttribute VB_Name = "NewParagraph" Public Sub MAIN() WordBasic.ScreenUpdating 0 >ToolsUnprotectDo@cument Insert Chr(13[?P = NoReset:=1, Type:=2 QCharRight 1 End 55#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%HxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2\c55as  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{011B0288-DD3E-49B5-A37E-2A97CC021D64}#2.0#0#C:\DOCUME~1\bushd2\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object Library<  ^"976983254/.;0+*-,')(#%$ "!:5<ThisDocument084ad5aadeThisDocument5% SuperPhoneNumber094ad5aade SuperPhoneNumber5% InsertCisAddress0:4ad5aade" InsertCisAddress505 GranteeFirstName0;4ad5aade^ GranteeFirstName5H%WorkerExtension0<4ad5aade`WorkerExtension5`%GranteeLastName0=4ad5aadebGranteeLastName5x%GranteeClientID0>4ad5aadedGranteeClientID5%GranteeAddress10?4ad5aadefGranteeAddress15%AddChildInfoRow1x4b2b822ahAddChildInfoRow5&WorkerAreaCode0A4ad5aade|WorkerAreaCode5SupervisorName0B4ad5aade~SupervisorName5SuperExtention0C4ad5aadeSuperExtention5AddSvcReferral0D4ad5aadeAddSvcReferral5 SvcRefHeading0E4ad5aadeSvcRefHeading58 SuperAreaCode0F4ad5aadeSuperAreaCode5PGranteeCareof0G4ad5aadeGranteeCareof5hCoSuppaddress0H4ad5aadeCoSuppaddress5CoPhoneNumber0I4ad5aadeCoPhoneNumber5ClearCaseInfo0J4ad5aadeClearCaseInfo5 NewParagraph0K4ad5aadeNewParagraph5GranteeState0L4ad5aadeGranteeState5countynumber0M4ad5aadeLcountynumberG:WorkerPhone0N4ad5aadeWorkerPhoneE:GranteeCity0O4ad5aadeGranteeCityC:(CoExtension0P4ad5aadeCoExtensionA:@ClientState0Q4ad5aadeTClientStateO:XWorkerName0R4ad5aade$WorkerNameM:pGranteeZip0S4ad5aadeGranteeZipK:CountyName0T4ad5aade*CountyNameI:CoAreaCode0U4ad5aadeCoAreaCodeW:ClientCity0V4ad5aadeRClientCityU:CaseNumber0W4ad5aadeJCaseNumberS:WorkerFax0X4ad5aadeWorkerFaxQ:RemoveRow0Y4ad5aadeRemoveRow_:qlastname20Z4ad5aadelastname2]:0FirstName0[4ad5aadeFFirstName[:HCoAddress0]4ad5aadeCoAddressY:`ClientZip0^4ad5aadeVClientZipg:xRowBreak0_4ad5aadeRowBreake:MLastName0`4ad5aadeHLastNamec:District0a4ad5aade,Districta: CaseInfo0b4ad5aadeCaseInfoo:Y Address10c4ad5aadePAddress1m: Section0d4ad5aade.Sectionk: OtherID0e4ad5aadeHOtherIDi:  NoReset0f4ad5aadezNoResetw:8uCoState0g4ad5aadeJCoStateu:PCorrect0h4ad5aadeLCorrects:hyAddRows0i4ad5aadeVAddRowsq: Worker0j4ad5aade2 Worker: MyInfo0k4ad5aadeX MyInfo}:' Hidden0l4ad5aade Hidden{: County0m4ad5aade Countyy: CoCity0n4ad5aade CoCity: CareOf0o4ad5aadeN CareOf: FaxAC0p4ad5aadeb FaxAC:( Date10q4ad5aade Date1:@ CoZip0r4ad5aade CoZip:XUnit0s4ad5aade0Unit :pModule11z4b2b8248Module1b1PHpx@0( hxh0(8pXP@`8Hg~@L"H@u>jHFaЄ'GXtQˢB!)?jK"V.t @ [)E]TWH;@^F :*E_4z%JU>O.qN5HJnLJ;=2idDB,[[QLoWkN&մ5<0Du`Tevs@h؋PQ\T@46cv(15M'˖MOglc 1ʩKe[o&}O4!+E`$4Zm IO.D}RiHu%/su /r-A GR:M)5kK  PN+9_lg δJlo+Oth>FObeG5atCm#mGgPmJ$ @jAgډM."ް1jvMTTPs=,C_M8G*++#"nH][bT:UAFOۭAiL(J$QCF罜Xm=#^NK5. ƾҿLg=ʙ=|qBBvGbOo/U\DBeF&I}FKLdOc;ה1GF0v];gsAJ|)S@DMLy%*\JOeړWyC\p@sGz2J79DW̕@H[㑈~QCpbNG3t7M]*@d@P:/B #;ۈXCq iFݙ]ބ MfL3DEp۵DeT0pIWordkVBAWin16~Win32MacVBA6#TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _EvaluateSuperPhoneNumber\MAIN, WordBasic WW7_EditGoTod DestinationлInsertCisAddress>} WorkerNameJAreaCode PhoneNumber CountyNameDistrict}-SectionGUnitWorker8 ApDistrictApUnitPApWorkerW FsDistrictaFsUnitFsWorker SvDistrict]SvUnit/SvWorker FirstNameLastName CaseNumberA countynumberyxCareOfƻAddress1O ClientCitym ClientState ClientZipGetPrivateProfileString$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!CountyG8CoCityr7Date11CoZip0DocumentjModule1bFormsSpellCheck2gzxo FormFieldActiveDocument\ProtectionTypewdNoProtection Unprotect?PasswordCheckGrammarWithSpelling FormFields-|Range  NoProofing] CheckSpellingW AlwaysSuggestProtectfwdAllowOnlyFormFields!#% + -( /+1:31I,K.M/G#I'KMO6Q*S U!W%"W0#Y2$c7%_&a'c(e)g*i+{-,} 5 6 7 8 93:BGHIJ4K5S8T9U;wVadefgh i!j"k$m&n)o X8ClearCaseInfoVCoPhoneNumber8:CoSuppaddressGranteeCareof9=xMEH 8 "&   c:\windows\ caseinfo.inid B@c:\windows\caseinfo.ini B@oH@EAttribute VB_Name = "ClearCaseInfo" Public Sub MAIN() WordBasic.File@Find Slch:=" ",! Path c:\wJows\4Jceie.ini0ubDir:=0, Title6Autho" Keywysject Option=`MatchKex#ternDateSavedFrom# LToByC?@ABCDEFGIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmopqrstuvwxyz{|~H 8 " (8 Granteecareof  B@oPHvAttribute VB_Name = "GranteeCareof" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=cEnd \c55xMEH SuperAreaCodeSvcRefHeading<> AddSvcReferralHs SuperExtention;Cn8 " (8 superareacode  B@oPH}Attribute VB_Name = "SuperAreaCode" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="sacEnd \c 55xMEH ?8@ "  (@2P  2  2 P ` p2   2  0 @2P   2   2  X h2x   4  ( 84H     0 HXh4x 4( B@j B@ B@ B@vsvcrefh1prt B@ntx B@Hoy B@ls0svcrefh2prt B@nv`~v B@ B@ B@lpsvcrefh3prt B@nSvcR B@p B@t B@lrsvcrefh4prt B@nt B@ B@istowr B@l%Xsvcrefh5prt B@n B@ B@ B@lsvcrefh6prt B@n B@ B@ B@lsvcrefh7prt B@n B@uct B@ion B@lsvcrefh8prt B@n B@ B@lsvcrefh9prt B@n B@ B@ B@l svcrefh10prt B@n B@ B@ B@l svcrefh11prt B@n B@ B@Add Instruction Row!T B@ B@ B@v B@ B@ B@l  B@ B@ B@e B@v SvcRefH12prt B@n B@l svcrefH13prt B@nzl B@xoAttribute VB_Name = "SvcRefHeading" Public Sub MAIN() WordBasic.ToolsUnprotectDocu@ment Ba@bleSel ChildInfo2prt B@n B@l ChildInfo3prt B@n B@l ChildInfo4prt B@nc: B@ltowrd. ChildInfo5prt B@nr B@l\cisto ChildInfo6prt B@n B@listowr ChildInfo7prt B@n B@vzl B@xoAttribute VB_Name = "AddChildInfoRow" Public Sub MAIN () WordBasic.ToolsUnprotectDocument BNextCell &WW7_EditAutoT" :="1"@, Cont:=0, InsertAs :=1U>f2c33c34c3567CharLeft( 30RP N@oReset, Type:=2 EndA \c55xMEH 8 ""0@GranteeAddress1  B@oH@uAttribute VB_Name = "GranteeAddress1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End \c55xMEH GranteeClientID GranteeLastName DGWorkerExtension GranteeFirstName"FH8 ""0@GranteeClientID  B@oH@uAttribute VB_Name = "GranteeClientID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End \c55xMEH 8 ""0@granteelastname  B@oH@~Attribute VB_Name = "GranteeLast" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="glnEnd \c55xMEH 8 ""0@workerextension  B@eoH@xAttribute VB_Name = "WorkerExtension" Public Sub MAIN() dBasic.WW7_EditGoTo DestinaBtr:="weEnd \c55      !"#$%&'()*+,-./0123456789:;<=>?@ABCEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcexMEH 8 ""0@granteefirstname  B@addoH@Attribute VB_Name = "GranteeFirstL" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="g5fnEnd \c55xInsertCisAddress"IYSuperPhoneNumber"PROJECTK PROJECTwmDDK/55xME0 @_=Retrieves CIS Client address info from c:\glwin\cistowrd.ini px%TemplateProject.InsertCisAddress.MAIN-][P$enP&atP(P*P,P.P0P2P4P6P8P:P<P>P@PBogPDptPFPHPJPLPNPPPRPTPV` " (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>: ]]]]]]0]H]`]x]]]]]]] ]8]P]h]]]]]]] WorkerInfoNamec:\glwin\cistowrd.ini %X' $ WorkerInfoAreaCodec:\glwin\cistowrd.ini %X' & WorkerInfo PhoneNumberc:\glwin\cistowrd.ini %X' ( WorkerInfo CountyNamec:\glwin\cistowrd.ini %X' * WorkerInfoDistrictc:\glwin\cistowrd.ini %X' , WorkerInfoSectionc:\glwin\cistowrd.ini %X' . WorkerInfoUnitc:\glwin\cistowrd.ini %X' 0 WorkerInfoWorkerc:\glwin\cistowrd.ini %X' 2ApWorkerDistrictNumberc:\glwin\cistowrd.ini %X' 4ApWorker UnitNumberc:\glwin\cistowrd.ini %X' 6ApWorker WorkerNumberc:\glwin\cistowrd.ini %X' 8FsWorkerDistrictNumberc:\glwin\cistowrd.ini %X' :FsWorker UnitNumberc:\glwin\cistowrd.ini %X' <FsWorker WorkerNumberc:\glwin\cistowrd.ini %X' >SvWorkerDistrictNumberc:\glwin\cistowrd.ini %X' @SvWorker UnitNumberc:\glwin\cistowrd.ini %X' BSvWorker WorkerNumberc:\glwin\cistowrd.ini %X' D ClientInfo FirstNamec:\glwin\cistowrd.ini %X' F ClientInfoLastNamec:\glwin\cistowrd.ini %X' H ClientInfo CaseNumberc:\glwin\cistowrd.ini %X' J ClientInfo CountyNumberc:\glwin\cistowrd.ini %X' L ClientInfoCareOfc:\glwin\cistowrd.ini %X' N ClientInfoAddress1c:\glwin\cistowrd.ini %X' P ClientInfoCityc:\glwin\cistowrd.ini %X' R ClientInfoStatec:\glwin\cistowrd.ini %X' T ClientInfoZipc:\glwin\cistowrd.ini %X' V FirstName %ZG FirstName F B@\jLastName %ZGLastName H B@\jAddress1 %ZGAddress1 P B@\j ClientCity %ZG ClientCity R B@\j ClientState %ZG ClientState T B@\j ClientZip %ZG ClientZip V B@\j CaseNumber %ZG CaseNumber J B@\j CountyNumber %ZG CountyNumber L B@\jCareOf %ZGCareOf N B@\j ApDistrict %ZG ApDistrict 4 B@\jApUnit %ZGApUnit 6 B@\jApWorker %ZGApWorker 8 B@\j FsDistrict %ZG FsDistrict : B@\jFsUnit %ZGFsUnit < B@\jFsWorker %ZGFsWorker > B@\j SvDistrict %ZG SvDistrict @ B@\jSvUnit %ZGSvUnit B B@\jSvWorker %ZGSvWorker D B@\j FirstName2 %ZG FirstName2 F B@\j LastName2 %ZG LastName2 H B@\jGranteeFirstName %ZGGranteeFirstName F B@\jGranteeLastName %ZGGranteeLastName H B@\j WorkerName %ZG WorkerName $ B@\jDistrict %ZGDistrict , B@\jSection %ZGSection . B@\jUnit %ZGUnit 0 B@\jWorker %ZGWorker 2 B@\jAreaCode %ZGAreaCode & B@\j PhoneNumber %ZG PhoneNumber ( B@\j CountyName %ZG CountyName * B@\joAttribute 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 MEH 8 ""0@superphonenumber  B@oH@Attribute VB_Name = "SuperPhoneNumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="spnEnd ID="{1FA0CC41-114A-4B9A-A6D1-6049A04B2695}" 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 Module=Module1 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="CCCE0E7C166C1A6C1A6C1A6C1A" DPB="B8BA7A7D7B7D7B7D" GC="A4A66684BE71BF71BF8E" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C SuperPhoneNumber=0, 0, 0, 0, C InsertCisAddress=0, 0, 0, 0, C GranteeFirstName=0, 0, 0, 0, C WorkerExtension=0, 0, 0, 0, C GranteeLastName=0, 0, 0, 0, C GranteeClientID=0, 0, 0, 0, C GranteeAddress1=0, 0, 0, 0, C AddChildInfoRow=0, 0, 0, 0, C WorkerAreaCode=0, 0, 0, 0, C SupervisorName=0, 0, 0, 0, C SuperExtention=0, 0, 0, 0, C AddSvcReferral=0, 0, 0, 0, C SvcRefHeading=0, 0, 0, 0, C SuperAreaCode=0, 0, 0, 0, C GranteeCareof=0, 0, 0, 0, C CoSuppaddress=0, 0, 0, 0, C CoPhoneNumber=0, 0, 0, 0, C ClearCaseInfo=0, 0, 0, 0, C NewParagraph=0, 0, 0, 0, C GranteeState=0, 0, 0, 0, C countynumber=0, 0, 0, 0, C WorkerPhone=0, 0, 0, 0, C GranteeCity=0, 0, 0, 0, C CoExtension=0, 0, 0, 0, C ClientState=0, 0, 0, 0, C WorkerName=0, 0, 0, 0, C GranteeZip=0, 0, 0, 0, C CountyName=0, 0, 0, 0, C CoAreaCode=0, 0, 0, 0, C ClientCity=0, 0, 0, 0, C CaseNumber=0, 0, 0, 0, C WorkerFax=0, 0, 0, 0, C RemoveRow=0, 0, 0, 0, C lastname2=0, 0, 0, 0, C FirstName=0, 0, 0, 0, C CoAddress=0, 0, 0, 0, C ClientZip=0, 0, 0, 0, C RowBreak=0, 0, 0, 0, C LastName=0, 0, 0, 0, C District=0, 0, 0, 0, C CaseInfo=0, 0, 0, 0, C Address1=0, 0, 0, 0, C Section=0, 0, 0, 0, C OtherID=0, 0, 0, 0, C NoReset=0, 0, 0, 0, C CoState=0, 0, 0, 0, C Correct=0, 0, 0, 0, C AddRows=0, 0, 0, 0, C Worker=0, 0, 0, 0, C MyInfo=0, 0, 0, 0, C Hidden=0, 0, 0, 0, C County=0, 0, 0, 0, C CoCity=0, 0, 0, 0, C CareOf=0, 0, 0, 0, C FaxAC=0, 0, 0, 0, C Date1=0, 0, 0, 0, C CoZip=0, 0, 0, 0, C Unit=0, 0, 0, 0, C Module1=0, 0, 0, 0, C ThisDocumentThisDocumentSuperPhoneNumberSuperPhoneNumberInsertCisAddressInsertCisAddressGranteeFirstNameGranteeFirstNameWorkerExtensionWorkerExtensionGranteeLastNameGranteeLastNameGranteeClientIDGranteeClientIDGranteeAddress1GranteeAddress1AddChildInfoRowAddChildInfoRowWorkerAreaCodeWorkerAreaCodeSupervisorNameSupervisorNameSuperExtentionSuperExtentionAddSvcReferralAddSvcReferralSvcRefHeadingSvcRefHeadingSuperAreaCodeSuperAreaCodeGranteeCareofGranteeCareofCoSuppaddressCoSuppaddressCoPhoneNumberCoPhoneNumberClearCaseInfoClearCaseInfoNewParagraphNewParagraphGranteeStateGranteeStatecountynumbercountynumberWorkerPhoneWorkerPhoneGranteeCityGranteeCityCoExtensionCoExtensionClientStateClientStateWorkerNameWorkerNameGranteeZipGranteeZipCountyNameCountyNameCoAreaCodeCoAreaCodeClientCityClientCityCaseNumberCaseNumberWorkerFaxWorkerFaxRemoveRowRemoveRowlastname2lastname2FirstNameFirstNameCoAddressCoAddressClientZipClientZipRowBreakRowBreakLastNameLastNameDistrictDistrictCaseInfoCaseInfoAddress1Address1SectionSectionOtherIDOtherIDNoResetNoResetCoStateCoStateCorrectCorrectAddRowsAddRowsWorkerWorkerMyInfoMyInfoHiddenHiddenCountyCountyCoCityCoCityCareOfCareOfFaxACFaxACDate1Date1CoZipCoZipUnitUnitModule1Module1  FMicrosoft Word Document MSWordDocWord.Document.89q @ J]bjbj dRP"RP"tttttu'u.|||L>}uY}R00000,\|؆‡‡‡‡‡‡$OR-t00tt00t0t0tty50} PT7I'u )0Yuutttttuu$'uuu'u 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 (L*L>L@LBLLLNLPLRLfLhLjLtLvLxLzLLLLLLLLLLLLLLLLLLLLMMMMM(M*M8M:M=<;:98PMRMTMZM\M^M`MtMvMMMMMMMMMMMMMMMMMMMMMNNN N"N6N8N:N>N@NBNDNXNZNhNjNlNNڹڮڣژڍڃ~ hpq5jhpq5Uj!hpqUj.!hpqUjk hpqUjhpqUjhpqUjKhpqUjhpqUhpqjhpqUmHnHujhpqUjhpqU.NNNNNNNNNNNNNNNNNNNNNNNNNOOOOO O"O$O8O:O[B[D[F[H[\[^[`[f[h[j[l[[[[[[[[[[[[[[[[[[[[[\\\j4hpqUj?4hpqUj53hpqUj2hpqUj1hpqUjhpqUmHnHuj1hpqUj0hpqUj0hpqUhpqjhpqUj/hpqU3\\\\$\&\(\<\>\@\F\H\J\L\`\b\p\r\t\\\\\\\\\\\\\\\\\\]]]]j9hpqUj8hpqUj7hpqUj*7hpqUj6hpqUjhpqUmHnHuj5hpqUjd5hpqUhpqjhpqU'/ =!"#$%CompObjdjDGranteeFirstName=Enter the Grantee's First Name (and Middle Initial, if known)GranteeLastNameTDAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered).2DCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)D ClientCity UppercaseEnter the Addressee's City.D ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation.D 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 CoAreaCodeEnter the County's Area CodeDCoCity UppercaseEnter the County's City.D CoExtensiond`CJOJQJ_HmH 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 NOBN Date11 Dd`CJOJQJ_HmH sH tH XRX District1Ed8(OJQJ_HkHmH sH tH LObL FaxAC Fd`CJOJQJ_HmH sH tH VOrV FirstName1 Gd`CJOJQJ_HmH sH tH XOX FirstName21 Hd`CJOJQJ_HmH sH tH `O` GranteeAddress1 Id`CJOJQJ_HmH sH tH \O\ GranteeCareof Jd`CJOJQJ_HmH sH tH XOX GranteeCity Kd`CJOJQJ_HmH sH tH `O` GranteeClientID Ld`CJOJQJ_HmH sH tH hh GranteeFirstName1Md8(OJQJ_HkHmH sH tH fOf GranteeLastName1Nd8(OJQJ_HkHmH sH tH ZOZ GranteeState Od`CJOJQJ_HmH 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 ^OR^ SuperAreaCode1 Ud`CJOJQJ_HmH sH tH dObd SuperExtension1Vd8(OJQJ_HkHmH sH tH dOrd SuperPhoneNumber1 Wd`CJOJQJ_HmH sH tH dOd SupervisorName1Xd8(OJQJ_HkHmH sH tH PP Unit1Yd8(OJQJ_HkHmH sH tH TT Worker1Zd8(OJQJ_HkHmH sH tH `O` WorkerAreaCode1 [d`CJOJQJ_HmH sH tH fOf WorkerExtension1\d8(OJQJ_HkHmH sH tH XOX WorkerFax ]d` CJOJQJ_HkHmH sH tH \O\ WorkerName1^d8(OJQJ_HkHmH sH tH ZOZ WorkerPhone1 _d`CJOJQJ_HmH sH tH ^O^ WorkerTitle1 `d` CJOJQJ_HkHmH sH tH ^^ countynumber ad` CJOJQJ_HkHmH sH tH TO"T District2 bd`CJOJQJ_HmH sH tH RO2R Section2 cd`CJOJQJ_HmH sH tH LOBL Unit2 dd`CJOJQJ_HmH 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_HmH sH tH POP ***** id` CJOJQJ_HkHmH sH tH dOd GranteeFirstName2 jd`CJOJQJ_HmH sH tH d@0` /*****Address1CareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddressCounty CountyName CountynumberCoZip Date1DistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZip LastName LastName2 OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerPhone WorkerTitle***** CaseNumber1 ClientZip1 CoAddress1CoCity1 CoExtension1CoState1CoSuppaddress1 CountyName1CoZip1GranteeLastName1 GranteeZip LastName1 LastName21OtherID1SuperExtension1SupervisorName1Worker2WorkerExtension1 WorkerFax WorkerName1 WorkerTitle1 Captions 8pt(<Pdu!5FZn 1BVj~%9Mau (LPMNOZ\] (*+,01 v  T sZFnjLbZ]  )/]  &(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`tpq@ HM(MHH(pLpNpZUnknownG: Times New Roman5Symbol3& : Arial?5 z Courier New"h0@?pq