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          
 G[          @@                        @@                     @@              @@                       @    @@           T * BOfBOfBOfBOf    * l X BT * Yf    BX T OfhI  Yf      X T          B T iI     	              \I     	     X T T    I    	  RxI iI X ZxI T wI     G[T {I      dD    G[ I    	 ɫD ֫D 4      G[G[	  
              KbD     iOR     Y       @@ @                                         
                               0                X           
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 Di            @@ @                                                                  N    6  8                                                                                                                                               1&@                                                                                                                         o \ p        
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    0    &b              (    )      -           (###) ###-####   (000) 000-0000            ,          @@                 X           
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         
     9      0	  H                                      
                   i                         Title          
               p@0	                 Tribal affiliation of child:           
         
     h      @`#                 You are given notice that an Alternative Residential Placement petition was filed with this court, a copy of which is attached.           
          $ PC        $  C  P        
                 
$ PC ,  Arial         
 (6 $vYou are given notice that an Alternative Residential Placement petition was filed with this court, a copy of which is             (B $	attached.             @#                 A hearing will be held:           
         
     a      pP@ H                                      
                   j                         Title          
               @p                Date:           
         
           p`P H                                      
                   k                         Title          
               pp                Time:           
         
           `$  H     	                                 
                   l                         Title          
               0@                Location of Court:           
         
     O      `$   H     
                                 
                   m                         Title          
               @                Mailing address:           
         
     H       H                                      
                   n                         Title          
               0@                 Telephone number:           
         
     W      @P`             L   The purpose of the hearing is to hear and consider evidence on the petition.           
         
    M      @!#             u   The possible outcome of the hearing is that the child could be placed outside of his/her home in foster care or other appropriate placement.  Although the Indian Child Welfare Act provisions regarding tribal intervention may not apply to this proceeding, you may ask the Court to allow the tribe to intervene pursuant to the provisions of Superior Court Civil Rule (CR) 24.           
        >> I    >     I          
                 
 I ,  Arial         
 ( $vThe possible outcome of the hearing is that the child could be placed outside of his/her home in foster care or other             ( $}appropriate placement.  Although the Indian Child Welfare Act provisions regarding tribal intervention may not apply to this            ( $zproceeding, you may ask the Court to allow the tribe to intervene pursuant to the provisions of Superior Court Civil Rule             ( $(CR) 24.              !"@ H                                      
                   o                         Title          
               !@"                Date:           
         
           #@$   H                                      
                   p                         Title          
               $@%P                SERVICE WORKER                         @      %@&   H                                      
                   q                         Title          
               &@'                 ADDRESS                         "      &P' `                STREET                               '@(p   H                                      
                   t                         Title          
               (@(                CITY                               (	0(
                STATE                               ((                ZIP CODE                         !      )`@*@   H                                      
                   u                         Title          
               *P@*0                TELEPHONE NUMBER                         J      -@0-              J   DISTRIBUTION:     Child's Indian Tribe       Service File       Court File      	                         /@/P                DSHS 09-758 (08/1991)                        L      .@/P              T   NOTICE TO CHILD'S INDIAN TRIBE OF ALTERNATIVE RESIDENTIAL PLACEMENT (ARP) PROCEEDING      	                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         N    T   3     Submit                              <  `    09758081991     BOfBO1    * t ` BT * hWASD    B` T OfhI DSHS      ` T       09_758 T iI                                        <  f      XX     jdV      XX         d            '   @L         $ V?           d                               6  =  l                                      {  >b      O                     "                  )))))))ϭ)                                 porpsila  T   porpsila  Z     < E            porpsila  f   porpsila  l                                      porpsila  T   porpsila  Z     < E            porpsila  f   porpsila  l                              6  >  x   this                                      @         
	Signature        Version          	Data VersV `H  $	Blue Keys        *Graphics         0HeaderW 0P  6	FieldList        <	Form Info        `LayoutProps   rDesPathInfo(  x       2  @I  r            ,          "                           ,,wc,wc,wc,wc,wc,wc)ϭ,w-,wY,wY,wc                                    porpsila  T   porpsila  Z     < E            porpsila  f   porpsila  l                          yData   d    e    f    g    h    i    j    k    l    m    n    o    p    q    t    u           Arial                                                           Times New Roman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                