       xIDesILaytags 8  
1435676430FORMS & RECORDS MGMT.DSHS 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         6                            I                                                                                                                  j                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    D   K   6           4         	|   	   	      6   0    r    @   4   @                v   d  8                                                                       &    ,    2    8    >    D    J    P    V    \    b    h    n    t    z                            6        qg 1serdict begin /11x17        6    N         Submit             t b        6         }{statusdict /setpageparams        6    B                        params          4       '   Jav3     Jav2   E          "              (E           j    EkEkEkEkEk   
             propalis                        propalis  N   propalis  H   propalis  B     < E            Ds  H   propalis  B         6  j  T     v exch scale pop pop xl}bdf/o        6  	|  Z          sfd{ps fg 5 -1 rol       N  	  `  8      <                           @fffffff@             3@ n C""BgHn/. Hn0<N j   ` n C"" n C""BgHn.1&@  XX     jdV      XX        d        '              | ' ?           d      -  !         
  	  l     o 
   P i    ! j    + k    6 l    A m    L n    W d      h     f    	 e       bCSODateCSOTelephone
CSOContact	ChildName
ChildName1
ChildName2
ChildName3
ChildName4
ChildName5pm restore/ps xdf mx3 astore pop}bdf/bn{/pm save def mx3 setmatrix newpath 0 0 moveto ct dup 39 get 0 exch getinterval cvx exec mtx astore setmatrix mx1 astore pop mx2 astore pop 3a astore pop 2t astore pop/pnsh xdf/pnsv xdf gw/sfl fg 5 get 0 ne def array astore exch setdash setlinejoin setlinecap setli        6  6  ~     kcolor}{setrgbcolor}ifelse mov        6  @          76069503821609045              6  v           Jav3     Jav2   Eet                  	Signature  
P  Version-   	Form Info      Graphics      <TiffList  TPageList         ZHeader  
P  `	FieldList  -   lLayoutProps-   	Blue Keys      ConvertDataVers  ~DesPathInfo p  C                
1435676430  ?6  <%  1
%%%% 8         FORMS & RECORDS MGMT.        DSHS xP    @{:         EA  p  ѐPREP n             H        H H    @RG(    H H    @    d       '                     `                                  "                        6       this   Submit             h 0       e  d    8       .$                  @              @   C          C         `                 NOTICE TO PARENTS       
               v 
     0  @                                                          d       @                 COMMUNITY SERVICES OFFICE (CSO)      	                    v        $ @                                                          e       $                 DATE      	                   v         0 $ @                                                          f       @$              	   TELEPHONE      	                    v /       
`$`                   The Washington State Department of Social and Health Services (DSHS) has recently approved Temporary Assistance for Needy Families (TANF) for your child(ren) listed below:           
        JJ   P    J      P           
 8                 
   P ,  Arial         
 (  !eThe Washington State Department of Social and Health Services (DSHS) has recently approved Temporary            (  !FAssistance for Needy Families (TANF) for your child(ren) listed below:                 ./(	P              %   DSHS 14-402 (REV. 04/2002) TRANSLATED                      w      "     N            "$@    N    $@       0    N  0        $P    N   $P       >B@    N  @@@       >B$`    N  @@$`       0  @                                                          h       @                 CSO CONTACT PERSON      	                    w ]       /`	0/             :   *COPIES TO:  Parent; Case Record; Public Disclosure Officer      	             
                    
   @                                        l                    i                         Title       	                  
 $@ @                                        l                    j                         Title       	                  0  @                                        l                    k                         Title       	                  0$@ @                                        l                    l                         Title       	                  @  @     	                                   l                    m                         Title       	                  @$@ @     
                                   l                    n                         Title       	                  0p#                   This form is used per WAC 388-454-0025:  The department notifies a child's parent when we approve assistance and the child is living with someone other than their parent.            
        JJ 9  iF    J    9  F   i        
 8                 
 9  iF ,  Arial         
 ( M 'mThis form is used per WAC 388-454-0025:  The department notifies a child's parent when we approve assistance            ( [ '>and the child is living with someone other than their parent.                  `                 m,`  *                      ?    State law gives you the right to be notified by the department:           
            S           S          
 8                 
  S ,  Arial         
 (	 !?State law gives you the right to be notified by the department:                 `#                   That your child has been approved for TANF benefits (cash and medical coverage) within seven days of the date we approve your child's application, unless there is a substantiated claim that you abused or neglected your child.            
         ,FD     ,    D  F        
  S                 
 ,FD ,  Arial         
 ( 6iThat your child has been approved for TANF benefits (cash and medical coverage) within seven days of the            (* 6mdate we approve your child's application, unless there is a substantiated claim that you abused or neglected            (8 6your child.                   ` p              7    Of your child's address under the following conditions:           
          8 ,ZA      ,  8  A  Z        
 ,FD                 
8 ,ZA ,  Arial         
 (L 67Of your child's address under the following conditions:                P#                   When you provide a copy of a court order granting you legal custody, visitation rights or residential time and submit a sworn statement that the order has not been modified; and            
        PPK @{D    P @  K  D  {        
8 ,ZA                 
K @{D ,  Arial         
 (_ JkWhen you provide a copy of a court order granting you legal custody, visitation rights or residential time            (m JGand submit a sworn statement that the order has not been modified; and                 p0#                   No court order restricts or limits your right to contact or visit your child or the child's caretaker by imposing conditions to protect the child or the caretaker from harm; and           
        PPm @D    P @  m  D          
K @{D                 
m @D ,  Arial         
 ( JrNo court order restricts or limits your right to contact or visit your child or the child's caretaker by imposing             ( J?conditions to protect the child or the caretaker from harm; and                P$                    The department has not found that the caretaker has good cause for refusing to cooperate in child support enforcement activities related to your support obligation; and            
        HH @J    H @    J          
 8                 
 @J ,  Arial         
 ( JjThe department has not found that the caretaker has good cause for refusing to cooperate in child support             ( J?enforcement activities related to your support obligation; and                 `#               t    You are not involved in a substantiated claim or pending investigation involving abuse or neglect of your child; and           
         @G     @    G          
 @J                 
 @G ,  Arial         
 ( JjYou are not involved in a substantiated claim or pending investigation involving abuse or neglect of your             ( J
child; and                               L    There are no pending proceedings as listed in subsection (2)(a) through (d).           
           @      @              
 @G                 
 @ ,  Arial         
 ( JLThere are no pending proceedings as listed in subsection (2)(a) through (d).                                  1    You may request the child's address and location:           
           
            
        
 @                 
 
 ,  Arial         
 ( !1You may request the child's address and location:                 @`!               K    In person, with photo identification, at a local community services office;           
           ,      ,              
 
                 
 , ,  Arial         
 ( 6KIn person, with photo identification, at a local community services office;                !``"@
                  Through an attorney; or           
           ,.       ,       .        
 8                 
 ,.  ,  Arial         
 (  6Through an attorney; or                "`#`               R    By submitting a notarized request when you reside outside the state of Washington.           
           ,@      ,      @        
 ,.                  
 ,@ ,  Arial         
 (2 6RBy submitting a notarized request when you reside outside the state of Washington.                 $%"                   Before giving you the address, the department will tell the caretaker with whom your child is living of your request for disclosure.  The caretaker then has 30 days to:           
        FF7 g6    F   7  6  g        
 ,@                 
7 g6 ,  Arial         
 (K !mBefore giving you the address, the department will tell the caretaker with whom your child is living of your            (Y !;request for disclosure.  The caretaker then has 30 days to:                &`'#                    Present information that either stops the department from giving you the address, or limits your right to visit or contact your child.           
        &&W ,<    & ,  W  <          
7 g6                 
W ,< ,  Arial         
 (k 6pPresent information that either stops the department from giving you the address, or limits your right to visit             (y 6or contact your child.                 ( `)#p               w    Request for a fair hearing.  The Administrative Law Judge will then decide if the department can give you the address.            
        x ,A     ,  x  A          
W ,<                 
x ,A ,  Arial         
 ( 6jRequest for a fair hearing.  The Administrative Law Judge will then decide if the department can give you             ( 6the address.                 *p+P              1    DSHS will respond to your request within 35 days.           
                               
 8                 
  ,  Arial         
 ( !1DSHS will respond to your request within 35 days.                +.p"                  Family Reconciliation Services (FRS) are available through the Department of Social and Health Services.  These services are designed to strengthen and reconcile families.  Please call the FRS/Runaway Youth Information Hotline at 1-800-486-9612 for information on these services.           
         9         9          
                  
 9 ,  Arial         
 ( !jFamily Reconciliation Services (FRS) are available through the Department of Social and Health Services.              ( !eThese services are designed to strengthen and reconcile families.  Please call the FRS/Runaway Youth            ( !HInformation Hotline at 1-800-486-9612 for information on these services.                                     1.           
           * 9           9  *        
 9                 
 * 9 ,  Arial         
 ( !1.                                     2.           
          8 Z 9        8   9  Z        
 * 9                 
8 Z 9 ,  Arial         
 (L !2.                 &&                  1.           
          W y 9        W   9  y        
8 Z 9                 
W y 9 ,  Arial         
 (k !1.                 ( )                   2.           
          x  9        x   9          
 8                 
x  9 ,  Arial         
 ( !2.                  @!                   1.           
            9           9          
x  9                 
  9 ,  Arial         
 ( !1.                 !`"@                  2.           
           . 9           9  .        
  9                 
 . 9 ,  Arial         
 (  !2.                 "#`                  3.           
           @ 9           9  @        
 . 9                 
 @ 9 ,  Arial         
 (2 !3.                 P`0@                  a.           
          K ,m N      ,  K   N  m        
 @ 9                 
K ,m N ,  Arial         
 (_ 6a.                 ``@@                  b.           
          l , N      ,  l   N          
 8                 
l , N ,  Arial         
 ( 6b.                 `p0                  c.           
           , M      ,     M          
l , N                 
 , M ,  Arial         
 ( 6c.                 `@                  d.           
           , N      ,     N          
 , M                 
 , N ,  Arial         
 ( 6d.                 `@                  e.           
           , N      ,     N          
 , N                 
 , N ,  Arial         
 ( 6e.                         puttint bc2}ifelsefhsetcolor}bdf/logtaper{/frac frac 9 mul 1 add log def}bdfFHIODict begin/origmtx matrix currentmatrix def/iminv false def/invbuf{0 1 2 index length 1 sub{dup 2 index exch get 255 exch sub 2 index 3 1 roll put}for}bdf/cyanrp{currentfile cyanbuf readhexstring pop iminv{invbuf}if}def/magentarp{cyanbuf magentabuf copy}bdf/yellowrp{cyanbuf yellowbuf copy}bdf/blackrp{cyanbuf blackbuf copy}bdf/fixtransfer{colorexists{fixtrans1 fixtrans2}{{dup 1 exch sub currentgray mul add}concatprocscurrenttransfer exch concatprocssystemdict begin settransfer end}ifelse}ndf/cmykbufs2gray{dup length 0 1 3 -1 roll 1 sub{4 index 1 index get4 index 2 index get4 index 3 index get4 index 4 index get255 exch sub ccmyk ccmyk ccmyk pop 5 mul exch 45 mul add exch 14 mul add -6 bitshift2 index 3 1 roll put}for4 1 roll pop pop pop}bdfend/textopf false def/curtextmtx{}def/otw .25 def/msf{dup/curtextmtx xdf makefont setfont}bdf/makesetfont/msf load def/curtextheight{.707104 .707104 curtextmtx dtransformdup mul exch dup mul add sqrt}bdf/ta{1 index{tempstr 0 2 index put tempstr 2 indexgsave exec grestoretempstr stringwidth rmoveto5 index eq{6 index 6 index rmoveto}if3 index 3 index rmoveto}forall 7{pop}repeat}bdf/sts{settextcolor textopf setoverprint/ts{awidthshow}def exec false setoverprint}bdf/stol{setlinewidth settextcolor textopf setoverprint newpath/ts{{false charpath stroke}ta}def exec false setoverprint}bdf/currentpacking where{pop false setpacking}if/spots[1 0 0 0 (Process Cyan) false newcmykcustomcolor0 1 0 0 (Process Magenta) false newcmykcustomcolor0 0 1 0 (Process Yellow) false newcmykcustomcolor0 0 0 1 (Process Black) false newcmykcustomcolor0 0 0 0  (White) falsenewcmykcustomcolor]def%%EndSetup%%IncludeFont: Symbol0 dict dup beginend/f0 /Symbol FF def[] 0 d3.863708 M1 w0 j0 J0 O0 R0 ifalse eomode[0 0 0 1] Ka[0 0 0 1] kavmsuu267.4956 405.7414 m248.1874 405.7414 L248.1976 407.2302 L248.1976 407.2302 248.2282 407.7809 248.5748 408.1378 C248.9826 408.5559 249.6962 408.5661 249.6962 408.5661 C266.6801 408.5661 L266.6801 408.5661 267.7607 408.4029 267.7607 408.9332 C267.7607 409.5451 267.3529 409.596 266.9961 409.953 C266.2519 410.6872 265.7116 410.626 264.3455 412.7572 C262.1333 416.2244 263.7339 424.9432 271.6855 424.8514 C271.6855 424.8514 279.4332 424.3823 279.525 416.9484 C279.5964 410.8707 275.5594 410.5648 275.1006 408.9842 C275.1006 408.9842 275.3453 408.3316 276.171 408.3316 C276.9866 408.3316 281.1153 408.3316 281.1153 408.3316 C281.1153 408.3316 282.8178 412.2984 287.181 412.4513 C291.5136 412.6043 293.8685 409.3207 293.8583 405.67 C293.8379 401.9785 290.2291 400.0716 289.9845 399.6025 C289.9845 399.6025 290.1374 399.0213 291.5544 399.0213 C292.9714 399.0213 304.1037 399.0213 304.1037 399.0213 C304.1037 399.0213 305.1639 399.0213 305.2251 398.0729 C305.2862 397.1246 305.2251 396.4209 305.2251 396.4209 C290.4942 396.4209 L290.4942 396.4209 288.3635 396.4209 287.7825 398.542 C287.1912 400.6631 289.1689 402.3049 289.1689 402.3049 C289.1689 402.3049 291.3199 403.3246 291.1976 405.7414 C291.0752 408.1582 289.2708 409.749 287.4868 409.698 C285.5295 409.647 283.4193 408.4539 283.4193 405.9148 C283.4193 403.3858 284.7853 403.0697 286.4776 401.3157 C286.4776 401.3157 287.13 400.7243 287.13 399.4292 C287.13 398.1341 286.131 397.3081 286.131 397.3081 C286.131 397.3081 284.9484 396.2986 284.3571 396.2986 C283.7659 396.2986 276.0487 396.2986 276.0487 396.2986 C276.0487 398.0729 L276.0487 398.0729 276.0691 398.6848 276.324 398.8887 C276.7827 399.2558 277.2312 399.3068 277.2312 399.3068 C283.7149 399.3068 L283.8576 399.3068 284.7038 399.3782 284.6834 399.6535 C284.663 399.9492 283.4498 400.6631 283.1542 400.8772 C282.5935 401.2851 281.8595 401.9989 281.7983 402.2335 C275.6715 402.2335 L275.6715 402.2335 275.3759 402.1315 275.1822 401.795 C274.8967 401.2647 274.9885 400.8466 274.9885 400.8466 C274.9885 368.7858 L274.9885 368.7858 274.805 367.5214 273.6021 367.5112 C272.0831 367.501 272.0423 368.7655 272.0423 368.7655 C272.0423 402.3763 L272.0423 402.3763 271.92 403.3246 272.6336 404.0282 C273.337 404.7421 273.9181 405.099 274.7438 405.1602 C275.5696 405.2213 280.8197 405.2111 280.8197 405.2111 C280.6464 405.619 L274.5705 405.619 L274.5705 405.619 273.6326 406.0371 273.0414 406.7408 C272.4501 407.4546 272.2768 407.6891 272.2768 408.6885 C272.2768 409.6878 272.1544 410.4016 273.6326 411.4622 C275.1006 412.5227 276.8133 413.5832 276.8133 416.4691 C276.8133 419.3652 274.8152 422.0165 271.5632 422.0165 C268.3214 422.0165 265.9053 419.4774 265.9664 416.7139 C266.0276 413.9402 267.4956 412.5839 269.035 411.6967 C270.5641 410.8095 270.6864 409.4533 270.6864 408.8108 C270.6864 408.1582 270.3297 407.3322 269.6772 406.8019 C269.035 406.2717 268.2704 405.8026 267.4956 405.7414 C[0 0 0 1] kafn248.2282 405.2111 m248.2384 403.8651 L248.2384 403.8651 248.2894 402.9473 248.6971 402.5598 C249.2476 402.0397 250.3078 402.0805 250.3078 402.0805 C267.098 402.0805 L267.098 402.0805 267.4956 402.1009 267.7912 401.7542 C268.0869 401.3973 268.0359 401.02 268.0359 401.02 C268.0359 368.8776 L268.0359 368.8776 268.0155 367.5112 269.5447 367.4602 C270.9515 367.4092 271.0942 368.8776 271.0942 368.8776 C271.0942 401.2035 L271.0942 401.2035 271.1248 403.1411 270.2889 404.1914 C270.085 404.4463 269.3306 405.0888 268.3825 405.1499 C267.4446 405.2111 248.2282 405.2111 248.2282 405.2111 Cfn275.9875 395.6765 m275.9875 393.7696 L275.9875 393.7696 276.0283 393.3515 276.4361 393.0048 C276.8846 392.6173 277.9551 392.5051 277.9551 392.5051 C283.7149 392.5051 L283.7149 392.5051 284.245 392.4439 284.4183 391.8219 C284.5916 391.21 284.5406 390.9959 284.3571 390.639 C284.1838 390.2923 276.2016 369.826 276.2016 369.826 C276.2016 369.826 275.437 368.3474 277.0172 367.7151 C278.2303 367.2358 279.2294 368.9184 279.2294 368.9184 C287.0688 389.6702 L287.0688 389.6702 287.3645 391.3222 287.3441 391.9137 C287.3033 392.5051 287.599 393.688 286.5795 394.5956 C285.5397 395.5134 285.2237 395.5949 284.8669 395.6357 C284.5101 395.6561 276.0283 395.6765 276.0283 395.6765 C275.9875 395.6765 Lfn305.2658 395.6561 m290.7388 395.6561 L290.7388 395.6561 289.4747 395.5236 288.8325 394.6976 C288.18 393.8716 287.8436 392.5153 287.8538 390.9857 C287.8538 390.7104 287.8538 368.9184 287.8538 368.9184 C287.8538 368.9184 287.8946 367.5826 289.4238 367.5826 C290.9529 367.5826 291.0345 368.9898 291.0345 368.9898 C291.0345 391.8525 L291.0345 391.8525 291.0549 392.2298 291.2384 392.4133 C291.4117 392.5867 291.5238 392.6479 291.7685 392.6989 C304.1037 392.6989 L304.1037 392.6989 305.2658 392.9538 305.2658 394.0551 C305.2658 395.1361 305.2658 395.6459 305.2658 395.6459 C305.2658 395.6561 Lfn248.2078 387.386 m248.2078 389.0278 L248.2078 389.0278 248.3458 389.4059 248.5442 389.5377 C248.84 389.7341 249.3904 389.8742 249.3904 389.8742 C254.9667 389.864 L254.9667 389.864 255.405 389.7926 255.3235 390.1189 C255.2419 390.4554 251.7962 391.6995 251.7962 395.5134 C251.7962 399.3068 254.7118 401.2851 257.5357 401.2341 C257.5357 401.2341 262.8674 401.0302 263.0712 395.9825 C263.2445 391.4956 259.5032 390.4962 259.5847 389.9965 C259.6357 389.6906 259.6153 389.762 260.0129 389.762 C260.1862 389.762 265.5179 389.762 265.5179 389.762 C265.5179 389.762 266.5883 389.762 266.8432 389.3337 C267.0165 389.038 267.1796 388.3752 267.0878 387.335 C260.1353 387.335 L260.1353 387.335 259.3707 387.284 258.6571 387.9876 C257.9536 388.6913 257.7192 389.1094 257.7192 389.7008 C257.7192 390.2923 257.5357 391.2304 258.6571 392.0564 C259.7784 392.8824 260.9814 393.7696 260.8998 395.4828 C260.8387 396.9512 259.7071 398.8887 257.4643 398.8887 C255.2216 398.8887 253.9982 396.9104 253.9982 395.7275 C253.988 393.841 254.406 393.0762 256.3633 392.0564 C256.3633 392.0564 257.3012 391.3528 257.1891 389.762 C257.1891 389.762 257.1279 388.936 256.5366 388.4567 C255.9454 387.9876 255.1808 387.3962 254.2939 387.3962 C253.407 387.3962 248.5238 387.3962 248.5238 387.3962 C248.2078 387.386 Lfn248.2282 386.7843 m254.8036 386.7843 L254.8036 386.7843 255.772 386.6314 256.2818 385.9278 C256.7711 385.2139 256.9852 385.1528 256.9852 384.4797 C256.9852 383.7965 257.0463 382.2669 256.5672 381.0636 C256.0983 379.8501 251.47 368.7043 251.47 368.7043 C251.47 368.7043 250.5831 367.0829 249.319 367.5826 C248.0447 368.0924 248.4933 369.877 248.4933 369.877 C254.5079 383.4498 L254.5079 383.4498 254.6201 383.7251 254.5283 384.0106 C254.406 384.3879 253.8453 384.4797 253.8453 384.4797 C249.5433 384.4797 L249.5433 384.4797 248.6462 384.5409 248.4219 385.0202 C248.2894 385.3057 248.167 385.683 248.167 385.8972 C248.167 386.1011 248.167 386.7742 248.167 386.7742 C248.2282 386.7843 Lfn267.0267 386.8659 m259.9008 386.8659 L259.9008 386.8659 257.6172 386.1011 257.5357 384.133 C257.4541 382.1445 257.7702 381.4409 257.7702 381.4409 C263.8766 368.7043 L263.8766 368.7043 264.7227 367.2256 266.0582 368.0516 C267.0674 368.6737 266.7922 369.7648 266.7922 369.7648 C260.3085 382.9195 L260.3085 382.9195 259.9518 383.4804 260.227 383.98 C260.4819 384.4797 260.7265 384.5409 261.1139 384.5103 C261.4911 384.4797 265.9664 384.5103 265.9664 384.5103 C265.9664 384.5103 266.4762 384.5409 266.7718 384.857 C267.0674 385.1935 267.1286 385.9176 267.1184 386.3255 C267.1184 386.6212 267.1184 386.8659 267.1184 386.8659 C267.0267 386.8659 Lfnvmrs%%IncludeFont: Palatino-ItalicMacVec 256 array copy/f1 /|______Palatino-Italic dup RF findfont def{f1 [7.662811 0 0 7.666779 0 0] makesetfont306.406494 392.820801 m0 0 32 0 0 (W) ts313.487473 392.820801 m0 0 32 0 0 (ashington State) ts} [0 0 0 1]stsvmrs%%IncludeFont: Palatino-RomanMacVec 256 array copy/f2 /|______Palatino-Roman dup RF findfont def{f2 [7.662811 0 0 7.666779 0 0] makesetfont296.136459 384.56398 m0 0 32 0 0 ( ) ts298.12886 384.56398 m0 0 32 0 0 (DEP) ts312.663132 384.56398 m0 0 32 0 0 (AR) ts323.459549 384.56398 m0 0 32 0 0 (TMENT ) ts354.595322 384.56398 m0 0 32 0 0 (OF) ts295.317047 378.076706 m0 0 32 0 0 (SOCIAL) ts323.734558 378.076706 m0 0 32 0 0 (    HEAL) ts352.526215 378.076706 m0 0 32 0 0 (TH) ts311.704346 371.589432 m0 0 32 0 0 (SER) ts325.104919 371.589432 m0 0 32 0 0 (VICES) ts} [0 0 0 1]stsq[0.101944 0 0 0.101974 244.007721 353.255142] concatvmsu832.6 288.7 m832.6 288.7 834.2 290.9 834 293.2 C833.7 295.5 832.2 300.4 826.3 300 C820.4 299.8 809.5 297 809.5 285.3 C809.8 273.8 812.3 276.3 812.3 276.3 C812.3 276.3 798.7 273.6 798.7 259.3 C798.7 245.3 812 243.1 816.6 243.1 C825.2 242.9 844.1 251.9 844.1 264.5 C844.1 264.5 844.1 267.9 843.2 269.5 C843.2 269.5 853.9 272.2 853.2 279.2 C853.2 279.2 853.2 282.6 852.3 283.7 C852.3 283.7 852.5 280.3 848.7 278.1 C844.8 275.8 823.8 273.1 823.1 267 C823.1 267 822.9 263.9 824.2 261.1 C824.2 261.1 825.2 266.3 831.9 266.3 C838.7 266.3 837.4 263.6 837.6 262 C837.6 260.5 836.9 249.9 820 249.9 C820 249.9 805.5 249.2 805.5 261.1 C805.5 273.1 821.8 274.2 823.3 274.5 C824.7 274.7 825.2 276 824.9 276.9 C824.7 278.1 824.2 279.2 823.3 279.2 C822.4 279.4 814.5 279 814.5 286 C814.5 293.2 822 294.8 824.2 294.8 C826.7 294.8 830.1 293.9 830.8 288.9 C830.8 288.9 830.8 286.9 831.5 287.1 C832.4 287.1 832.6 288.7 832.6 288.7 C[0 0 0 1] kafnUvmrQUUvmr%%Trailerend  % FreeHandDictend  % FHIODict   `   d      *S                    `  d                     `   d                            d                           NOTICE TO PARENTS       
             `    d       `              Cell1     @  d                d                 d     d d       
                         d                          p    d                            CSO NAME                           #    d       `              Cell2 Y K   d                d                 d     d d       
                         e                          #    d                             DATE                           #    d       `              Cell3 Y K   d                d                 d     d d       
                         f                         #    d                          	   TELEPHONE                          	  
#@    d                            This is to inform you that the Washington State Department of Social and Health Services (DSHS) has recently approved Aid to  Families with Dependent Children (AFDC) for your child(ren) listed below.       	    
             d                          .   Under state law you have the following rights:       	    
        "    d                             The right to be notified that your child has been approved for AFDC benefits (cash and medical coverage) within seven days of the time we approved your child's application, unless there is a substantiated claim that you abused or neglected your child.       	    
        @p    d                         b   The right to be notified of your child's address by the department under the following conditions:       	    
          "`    d                             You request it in writing.  You must deliver this request in person to the Community Services Office listed above and provide satisfactory proof of your identity.  If the request is made by your attorney, you do not have to appear or provide proof of identity.  If you live out of state, you can mail a written, notarized request to the address listed on the envelope this notice came in.       	    
        p @"P    d                             There is no current investigation, pending case or court order involving abuse or neglect by you; and the department has determined the client must cooperate with the child support agency.       	    
        ! p""    d                             Before giving you the address, the department tells the relative with whom your child is living of your request for address disclosure.  The relative has 30 days to :       	    
        'p(    d                          1   DSHS will respond to your request within 35 days.       	    
        )P*    d                         e   The right to be notified of the provisions of the Family Reconciliation Act under Chapter 13.32A RCW.       	    
        +  -`"    d                         S   Family Reconciliation Services (FRS) are available through the Department of Social and Health Services.  These services are designed to strengthen and reconcile families experiencing problems with their children.  If you would like more information on these services, please call the FRS/Runaway Youth Information Hotline: 1-800-486-9612.       	    
              d                             _       	    
              d                            _       	    
         0     d                            1.       	    
        @    d                            2.       	    
        ! 0!     d                            3.       	    
        '@(    d                            4.       	    
        ( )    d                            _       	    
        .  P.``    d                         !   DSHS 14-402(X) (10/95) TRANSLATED                        d                           #     d                    #      > B    d                  @ @     >B#0    d                  @@#0     ~      d                         ~#@    d                  #@     > `B#    d                 Registration@ `@#     #P$P    d                            a.       	    
        #P$"    d                             Present information that either stops the department from giving you the address or limits your right to visit or contact your child(ren), or       	    
        %p&P@    d                            b.       	    
        %'"    d                          r   Request a fair hearing.  The Administrative Law Judge will then decide if the department can give you the address.       	    
             d       `              Cell4  ɜ   d                d                 d     d d       
                         h                             d                              CSO CONTACT PERSON                          p "    d                            If your request is based upon a court order that grants you legal custody or visitation rights or residential time with the child, you must include a copy of that court order along with a sworn statement from you that the order has not been changed.       	    
        /0@/     d                          l   *DISTRIBUTION:  WHITE - PARENT   YELLOW - FINANCIAL RECORD   PINK - DIA, MS: 45400   GOLDENROD - LOCAL OFFICE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      A    <    ?                (    )      -           (###) ###-####         
  /  /        @@                  X           
          
           @@                        @@                     @@              @@                       @    @@                , Ǌ $      , T 8T $     T (       <    \/ D _T      <    ?       \/  Ar	t T j     r	    T \/   s	r	   	   	   s  T    r   "T \/ 'T l    \/  T LA j    \/  T j    </  \A r    s         H  H A / ]  ^       s     *       j / \ A j           @@@@                                    _      l                                 @@                X                                  @@                                                                             @@                 X                                      @@@@                                n      n                                  @@                 X                                z        L                             @@    d                                 X       3     Submit                               V  @     "                          
V p            V       "              	    .	  >  -	  x  r        N    $   3     Submit                           D  f      XX     jdV      XX        d        '              | ' ?           d           w?                 Jav3     Jav2   E-         ''   Action 
Print Form 	 name  
Print Form type  button icon  images/print.gif x  y  class  ActionBuiltins method  Print checks  true commit  true       z  4  *  zz     m,    z        ,   m        
  
     m, 
         4     m,  
 `   m, ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    , `   m,     Z   q    : H >9 23Z 7,⮭H    JN ]   :H  }  ,g   I<; Y $u 7L+H}  v    ^ < |Q  k   A 	  }    9 H  ] ' 3 , H r@Y   :H  
  ,S  i /  :E     {  ljYT            A H   y X  , .H S  _  :H    ,V  c "}} :G N  p 
    i ,       I H     l , .H ֡rG O  :H    ,V  d !罹xQ :H i<S  w 
{Z  q    Q2  A   s  v  H G     V , H  @]  :H    ,V  d w1  :H 5u    {      Z   h  j!  H;  X 	  , 	H 
     :H    ,V  d \  0 :H m   tF N 0      m   a  a+  H: 4> Y    : + 	G  I     :H    ,V  d x  ht 9H   -   W S Q    < b  u   W  V2  J:  c l_  睦 - .D  M% |Ow  6B  e:'P  d $ N- ); 	k5 8A m   E' P Q7I      X+  c  M  K;  V:     U 4E =<	/v N1f f` 		P3r] 7{ 7` 08Q AS./    S  P  @ B E  W<  g rU :>  4A 3Dּmכ yڃ Xk i]  fڛ 	) % 3 ?[   (6  <   )  A )  8  /N? 1. 	   6O= N! 
  FI	 	 )MR1 ,OC  
    6N4 &PJ 
9RC  <  ~ .  J }  l     8 uI ޝ/ +K yìT jN 
dw     
 S   `, ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    , S   `,   B  ~=  Y Q  <  ! : V   o   D 	  1 h 3  w, : V      G 4   ~ *  k6 : W  i       s  u ] 	    c= : S C> ?S =>:
G D;::<D %`M (_Y ]S bM  {      W G : H  i  8  pH  {V *%    | !    "  N P : H   MO Z  
r
 UH 7 KV 	/& *  x  m I   , A Z : H    Pm - D 7H  V!  +V l	 J   w 	   7 9 c : H   Sq 6e + H :H    ,V  4 P  r  J  {7 @ - k : H 9/ s e- , H :H    ,V        x  g d  I " r : H  | o , H .zE 3{C :H  ~  ,S Ls  vS ;p0
	  < [+ vc E~i   B  V   T   } : H   W۲, , H &t	    :H  DH)R|> B U 2fE43݀Iyо "8  2A  '!   ? @   _    : H   / 8L@8=K5 ,H _  y  :H S
!$  ʄ+ lV>O2 9@ UL V!o-      /   h    : H  h ,   ,+H  -   eX  :H o('8 68<  ( PIWP  .6   G  (? 7Y *   
 F   S, ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    , F   S,   L ^  +  , d  NB , 'F` d    9b    ( q  a  ~  p d ZW   d 	+z Il q ?G    > r   !  , e % i , 'dYωnB d  
 W    ( q  c 䊉vM   q d eY   d Q Gp q  #H     f"  T   , _   ,  d  \ U     q  c    q d ]d  d r!   Gd q H           , V  , 	@j  d  g _     q  c    q c Fv   d 8 w   IGu: q P )H      G    + V   + 	
  Q d  G _ &d     q  c    q e "  v  c F B   VX q :F 4J    07     4 V  h" +  7> !E-  d}	6 [_   0DM   	l  c &Mk/ z  q 55  ?.  ` Һ +	 aS   n	( k 4YO      yJ  [ \  ; V  @ K ~. 
 d0  	"Ek  4Y
t@ e . tq  V& Kz* 
_;  ?e  _
ܡy4	AQ   pG    Y l  : V  n 
=w /A  dT A}{z  5-=ڿ T_ _ ` a0 { r  gL N <b۳}6S   G    e n   : V   
	 0H9 d:E! <A  

 H+ 			
 	 'H@  	 	  ,H GJ 
	 )FI* 6J6 $H; 
 <=  	
 ? -   p d  
 : V  w d   >  e
   z Z   : V  J< c   >   %   R   : V & ` `   B   ~>   G   : V 
  ]5     
 9   F, ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    , 9   F,   H 
  C  r     r   f:    e 7    ~     k   DJ:9:FKIH9  gR , P q 4M      '  c  s%       W J    t ]
   e  .  d  N I S,1i G 
iy hWJr 	 K W   q  V   S  9  d % q - 8    p U L   u E'}  N  C  d 	  +  T 7  r Z  < ,   `  C  v K ! d  , 	s  k e  %l     7  j U , d  
 , h 1M S [r h|! 	; 'm 
 xZ  N: z\	  qq ] hI _  >r# 7Y #/ ow    8& b .  a \ , d  X? , I  t Es!E #CG Q~*EN>o.fF V) 1e   H5 O1 \f/ 3 w #`x >S    _ a  ~%  V f , d   , 2 X 6   \N     
XA  d  y( & pX  Wq  L     q   I p , d   , [+ ' v*v@eR [X pG9  e=Y@ĞQ   _M摎( 7*:  Z  |x  )q  yB     P||}xX K @ x , d   , -+   DT a2  r ,=  ?e  9Y  ( 3   t   }-   ^ s  +  \ l)   s;0  w q  <W  TV    gv ur [ 9DBAM 5  , d  s , 4u>f d  # d    ( n  o  ~	  x c Gb   d `   V[n  ,/ q 	4N      
 ,   9, ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    , ,   9,    M( 7   v { V 	QQ. q7( :& :	 ] z  ˎ B H 
d Û  ;    P` W ~ =YL K \   P( 
.  s  ^ c 	Ï  &I [ 
] 
U e    U b ] W (9 ن  } ` [ ȶ  ~ { *  4 &   ! &    q ? q R  )3 2    Y , '< ]   R ՗ V +7  ǹ   X #B  6 
2    Т z   n a  U    ? Óg k n , D T !蠗 _ ʪ W I qכ U ē= D ŗ$    By	 $   U    H  =- I}5P v> G @ 	@ %; !9 ;Iz HH 	ZS !? 2 DJ /P .{QQ 	EP v{  K    E I $  C   D 9 B  K     0	  . e  *
 =  < 	   W  :       s h  ;   ?  C        :   7  L          ;   D  V      WE   :      b    { - m   :  h 1   j    q       
    ,, ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    ,    ,,     1 . l      tS   / yxu\. Nggfijjgz+G   3  % 88787#(gZz3   I ,  Xn   
   %6  O  2P 0 3  4N  . o ; (8  Q R 0D  P  [  {s F 1  [  ` ]   * I     V  K % f 0 %Z 
Ӆ   4'    	   l   2  g x  ҄ 
      b   d  0 qضQ D0 F J Zu6 s x 0o r iu zf	 g ,F n r \ 
.    x    % xR  < < tCۓ ̛ 
Me' "G z< eEX: ڿQx5 f8 JS ~> / ?ۦ   {	    1 f 
$	PW 
   ?    
f (#     X "O  މ ! ;% 2 < m) ]	 L +       XI 	an  *!  9CB@ 
q BB =ތ f G X "@ R  c Q    g y B e *q ( ,  p15Ҟ   "{
  C  ^ ?, 	@ 9 l9 H  8) O     r ͌   3 q    W Q r ܼW   
    , ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    ,    ,   &  K    P    1   ( ) N      E   '  ! C q  k  f U   ) /6 #  \  X V   (  dD 6I  \  X W   '  0  i  t  y P   ( 
 d<    /   + 
  {>  v   1 b )           M    y  u m	      k  3 S&         M     
    , ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    ,    ,     {    % * 
>M   &  	;1o m 4ޒA   $ #  *      @#  D #*     m   | p 7!      O ;      %  -    _   *     w>+3Z
   )   
   r  G   '      ~  k    )    !   L    (  uB U }  |(  \     
     , ,     ,         H   H                                  	 
                        ! " # $ % & ' ( ) * + , - . / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? @ A B C D E F G H I J K L M N O P Q R S T U V W X Y Z [ \ ] ^ _ ` a b c d e f g h i j k l m n o p q r s t u v w x y z { | } ~   ~~~~~~ }}}}}} |||||| {{{{{{ zzzzzz yyyyyy xxxxxx wwwwww vvvvvv uuuuuu tttttt ssssss rrrrrr qqqqqq pppppp oooooo nnnnnn mmmmmm llllll kkkkkk jjjjjj iiiiii hhhhhh gggggg ffffff eeeeee dddddd cccccc bbbbbb aaaaaa `````` ______ ^^^^^^ ]]]]]] \\\\\\ [[[[[[ ZZZZZZ YYYYYY XXXXXX WWWWWW VVVVVV UUUUUU TTTTTT SSSSSS RRRRRR QQQQQQ PPPPPP OOOOOO NNNNNN MMMMMM LLLLLL KKKKKK JJJJJJ IIIIII HHHHHH GGGGGG FFFFFF EEEEEE DDDDDD CCCCCC BBBBBB AAAAAA @@@@@@ ?????? >>>>>> ====== <<<<<< ;;;;;; :::::: 999999 888888 777777 666666 555555 444444 333333 222222 111111 000000 ////// ...... ------ ,,,,,, ++++++ ****** )))))) (((((( '''''' &&&&&& %%%%%% $$$$$$ ###### """""" !!!!!!                             





 						                    ,     ,    DqүR     NN    	    *!                 I  K        	    *!               `     .   @      4@           @      "                       4EܧE{ܧEܧܧܧܧ*EEmܧ                   propalis                        propalis  N   propalis  H   propalis  B     < E            porpsila  $   porpsila  f                          OData  
 n    m    l    k    j    i    h    f    e    d      porpsila     Arialtica@@ G@
 _ D nT    @               Times New Roman                                                                                                                                                                                                                                                                                                                                                                                                                                                     