       IDesILaytags ۜ  1DSHS ASDState of Washington
09-763.itp 09763032003                                                                                                                                                                                                                                                                                                                                                                                                                                                               #Z   1                                                                                                                                       #                                             l                        K  0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         "T         4   j   D            n   N    b          !|   "      #   $   n           H0  ۜ                                                                                    &    ,    2    8    >    D    J    P    V    \    b    h    n    t    z                            6     Z         Submit                        6       AR .                            6         ^                                  6    $                                          6  4  *        50469041744506000                j  B   4                workpage        X           
          
  "          @@                        @@                     @@              @@                       @    @@           |  Z  g      Z   S S       S " |     0    / 4 S      0    "        / | 5	d gS Z     	     S /  x 		           	  <S    	   S / S \    /  S (A Z    /  vS Z    .  8A 	             8  8 A XH                      Z XH L A Z           @@ @                                      
                                 @@                 X           
          
 S S            @@ @                                                                      N    6  8                                                            'P-                                   ! @                                  1&@   XX    
.i      XX    
.    d            '                .,9W      
  o  d      (  4  $            r     
       (          "                        (RARARARARARA9RA   
                                porpsila  T   porpsila  Z     < E            porpsila  f   porpsila  l                               Arial                                                           Times New Roman                                                 ell26Cel       )         A   B                               	   
                                                                      !   "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   8   9   :   ;   <   =   >   ?   @   A  RARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARARA     Cell1Cell2Cell3Cell4Cell5Cell6Cell7Cell8Cell9Cell10Cell11Cell12Cell13Cell14Cell15Cell16Cell17Cell18Cell21Cell22Cell19Cell20Cell23Cell24Cell25Cell26Cell27Cell28Cell29Cell30Cell31Cell32Cell33Cell34Cell35Cell36Cell37Cell38Cell39Cell40Cell41Cell42Cell43Cell61Cell62Cell63Cell64Cell48Cell65Cell66Cell67Cell52Cell68Cell69Cell55Cell70Cell71Cell75Cell76Cell77Cell78Cell79                            @@                             
         
            @@        b       B{O     B               @@                 X       
                 
                       B    H   N   ~            m           b       B{O     B               @@                        H   6               
masterpage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              n      z   
       (          "                        (   
                                porpsila  T   porpsila  Z     < E            porpsila  f   porpsila  l                                                                    Arial                                                                    l  <     >   d      m    6 n    = o    D p    K q    R r    Y s    ` t    g u    n v     e     w     x    u y    | z     {     |     }     ~               f                                                      g                        @ h        \    q i        $    +    2    9    G    N    U    c    j j    $    x                         k    * l    0  Cell1Cell2Cell3Cell4Cell5Cell6Cell7Cell8Cell9Cell10Cell11Cell12Cell13Cell14Cell15Cell16Cell17Cell18Cell21Cell22Cell19Cell20Cell23Cell24Cell25Cell26Cell27Cell28Cell29Cell30Cell31Cell32Cell33Cell34Cell35Cell36Cell37Cell38Cell39Cell40Cell41Cell42Cell43Cell61Cell62Cell63Cell64Cell48Cell65Cell66Cell67Cell52Cell68Cell69Cell55Cell70Cell71Cell75Cell76Cell77Cell78Cell79                              pp                  h      NO:           
          
  D  7                                   N    T   3     Submit                               b  `    09763032003  S S "  1   S   " |     Z  DSHS ASD S      Z    State of Washington )     
09-763.itp S /  h                                  f      XX    \     XX        d            '   <@         l dS       
  o  d                              6  !|  l                                       "         	Signature        Version 	  	Data Vers	   $	Blue Keys        *Graphics	 $
  0Header$
 	  6	FieldList$
   <	Form Info        `LayoutProps"   rDesPathInfo"   xCellDisplayName   5   6              1  "T    psila  l                              6  #Z  x   this                                       #            	Signature        Ver           #    ata Vers	   $	Blue Keys        *Graphics	 $
  0Header$
 	  6	FieldList$
   <	Form Info        `LayoutProps"   rDesPathInfo"   x        )  #  ~  P       @             O   *Indian custodian's name:Last known address:Tribe(s)/Band(s) affiliation(s):          
               
              P                Enrollment number:           
        	 
     W      0p  H                               	0       
                   v                         Title          
               `p!  H                               	0       
                   w                         Title          
               p!  H                               	0       
                   z                         Title          
               !  H                               	0       
                   {                         Title          
               	0`                *3.      Department of Social and Health Services (DSHS) or other agency         Agency:         Name of social worker(s) who assisted the parent/Indian custodian to execute the consent:          
         G      
              
`` @                             	`       
                  |       
	pP                 DSHS           
          
         
` @                             `       
                  }       
p                 Other agency:           
          
  >       
0p!  H                               	0       
                   ~                         Title          
                0! H                               	0       
                                            Title          
                0             W   Address of social worker(s) office:Social worker(s) phone number (include area code):           
            X-V   X     V  -        
c                 
  X-V ,  Arial         
 ( b$Address of social worker(s) office:                   ( b2Social worker(s) phone number (include area code):              p!  H                               	0       
                                            Title          
               pP!  H                               	0       
                                            Title          
                P`             9   R4.      Consent to foster care placement4.1    I am the          
         (      
         *     
         -      
              p`0!              j       child.  The child was born more than ten (10) days prior to the date on which I signed this agreement.           
        	 
           `p  H                               	0       
                                            Title          
               `!                of the above identified            
        	 
     d      !             j   *4.2    I hereby request and consent to foster care placement of the child.  The reasons for the placement           
               
              @0! H                                	0       
                                            Title          
               !                 R4.3    I understand that I have the right to obtain the advice and representation of an attorney regarding         the foster care placement of the child.4.4    I hereby authorize the          
               
              
               
              `@   H     !                          	0       
                                            Title          
               !              
   agency to            
          &      &          
[                 
& ,  Arial         
 (
agency to               + "                f         assume custody, control, and care of the child for purposes of foster care placement.  I further           grant to the agency the power and authority to authorize and provide all necessary medical,          dental, or psychological care as recommended by the treating doctor or psychologist.4.5    I understand that if my child is placed in a licensed foster home or group home, payment for the         child's care may come from public assistance funds.  I also understand that under Washington         State law, I am responsible for the support of my child.  I understand that I will be required to make         payment to help meet the cost of the child's care if public assistance funds are used to pay for my         child's foster home or group care placement.  Determination of the amount I am required to pay will         be made by an order of the Superior Court or by the Division of Child Support, Department of         Social and Health Services.  4.6    I understand that this consent is not valid and has no force and effect unless I sign the consent in         Court and the Court validates the consent.  Under Court validation of the consent, the child may be         placed in foster care.           
        1     
        4      
             
              
              $ &!                             
          ?k#    ?  #  k        
&                        
?k# ,  Arial         
 (]                % 'p!                             
          U"    U  "          
?k#                        
U" ,  Arial         
 (s                (" *`"p                           
         ^ ^1      1          
U"                            ,P-P             h   >CONSENT TO FOSTER CARE PLACEMENT AND COURT CERTIFICATION FOR AN INDIAN CHILD DSHS 09-763 (REV. 03/2005)      	             M              N                   ,p- !                Page 2 of 5           	        	 	     .  
    +`
p+             Q   DISTRIBUTION:  Court file, Service file, Parent(s)/Indian custodian, Indian Tribe      	             	           0P                are:           
        	 
                    P002          P002               Page 2 of 5           	         	     .  
    +`
p+             Q   DISTRIBUTION:  Court file, Service file, Parent(s)/Indian custodian, Indian Tribe      	                        0P                are:           
         
                    P002   
                         
;  $  ~  	      `P             O   Indian custodian's name:Last known address:Tribe(s)/Band(s) affiliation(s):           
         ? L       L   ?              
                 
 ? L           $  0  _                  @@                 X           
          

g
          @@                        @@                     @@              @@                       @    @@             QA  @         Z	E
;x       Z	 ,  Z	 @  Z	k
;     @ Z	   $A  k
;      @ Z	          Z	A  @            @  QA  @       @ Z	Z	       A еA @   Z	A        6	A    A    dL 
g
A         #       P {O     g
J     V       @@ @                                        
                                @@                 X           
         
	            @@ @                                        
                                 @@                 X           
         
	                @@ @                                      
                               @@                X           
         
	r            @@        b       
{O     g
               @@                 X       
                 
                L       B    H   N   ~                                     
                  }       
         ^  D             Oth        :        0  D         6   7                                	   
                                                                      !   "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   ؾ......................................................  _     T  K                                        '  K                                   K  N  |      `                 IN THE MATTER OF:           
        	 
     `      `"      `        Xh!      ``!       `	P                 CHILD'S FULL NAME                   	      D      P              	   BIRTHDATE                   	      (      `                 TRIBE(S)/BAND(S)                   	      <      p                                  &   SUPERIOR COURT OF WASHINGTONCOUNTY OF           
            @    @                
[                 
  @  ,  Arial         
 (  JSUPERIOR COURT OF WASHINGTON           (  J	COUNTY OF             0`!              L   CONSENT TO FOSTER CARE PLACEMENT AND COURT CERTIFICATION FOR AN INDIAN CHILD       
             ,W$  ,    $  W        
  @                  
,W$ ,  Arial         (-6CONSENT TO FOSTER CARE         (;6PLACEMENT AND COURT          (I6!CERTIFICATION FOR AN INDIAN CHILD             pp              	   LEGAL NO:           
        	 
     5       H                               	0       
                   d                         Title          
               P`  H                               	0       
                   e                         Title          
                 H                               	0       
                   f                         Title          
               P`  H                               	0       
                   g                         Title          
               `p! @                               	0       
                   h                         Title          
               P                JUVENILE COURT           
        	 
     V      p              Y   Pursuant to Chapter 13-34 RCW and the Indian Child Welfare Act, 25 U.S.C. 1901 et seq., I           
          a >   >  a            
[                 
a > ,  Arial         
 (s HYPursuant to Chapter 13-34 RCW and the Indian Child Welfare Act, 25 U.S.C. 1901 et seq., I             P!p  H                               	0       
                   i                         Title          
               !"                 ,           
        	 
                        L   parent/Indian custodian of the above named child, hereby declare as follows:           
        	 
    R      +0               1.      Child's name:         Last known address:         Indian Tribe(s)/Band(s) of which child is a member or eligible for membership:         Enrollment number: 2.      Parent(s)/Indian custodian(s)         Mother's name:         Last known address:         Tribe(s)/Band(s) affiliation(s):         Father's name:         Last known address:         Tribe(s)/Band(s) affiliation(s):          
               
              
               
              
               
        ;     
        M      
              P                Sex:           
        	 
             @                                     
                  j                        Male           
          
         ! @                                     
                  k       !                 Female           
          
  !       
0@  H     	                          	0       
                   l                         Title          
               `!  H     
                          	0       
                   m                         Title          
               !  H                               	0       
                   n                         Title          
               p`! H                               	0       
                   o                         Title          
               $%P                Enrollment number:           
        	 
     W      !
"p! H                               	0       
                   p                         Title          
               "#!  H                               	0       
                   q                         Title          
               $%p  H                               	0       
                   r                         Title          
               $@%p!  H                               	0       
                   s                         Title          
               ))                Enrollment number:           
          c  c              
[                 
c ,  Arial         
 (mEnrollment number:              ( )  H                               	0       
                   t                         Title          
               (@)!  H                               	0       
                   u                         Title          
               %
&!  H                               	0       
                   x                         Title          
               '(p!  H                               	0       
                   y                         Title          
               ,`@-`             i   *CONSENT TO FOSTER CARE PLACEMENT AND COURT CERTIFICATION FOR AN INDIAN CHILD DSHS 09-763 (REV. 03/2005)       	             M                   ,p- "                Page 1 of 5           	        	 	     .  
    *
+p0             Q   DISTRIBUTION:  Court file, Service file, Parent(s)/Indian custodian, Indian Tribe      	             	           ` @                 D ` @                   P001    ,p- "                Page 1 of 5           	         	     .  
    *
+p0             Q   DISTRIBUTION:  Court file, Service file, Parent(s)/Indian custodian, Indian Tribe      	                        ` @                 D ` @                   P001                                                                                                                                                                                                          &A  N    !                    a   service plan for the child, and to offer appropriate and reasonably available services.DSHS or            
        

 X   X              
1                 
 X ,  Arial         
 ( bXservice plan for the child, and to offer appropriate and reasonably available services.                   ( bDSHS or                !             ^   >I understand that I have the right to withdraw and revoke this consent for any reason and at any time.  I also understand that if I withdraw and revoke this consent, I have the right to have the child promptly returned to my custody unless the return of custody would likely cause imminent physical harm to the child or unless a court order to foster care placement of the child has been entered in accordance with the provisions of state law and Section 1912 of the Indian Child Welfare Act.I understand and agree that a copy of this consent will be sent to any Indian Tribe of which the child is a member or eligible for membership.I agree to keep the placing agency informed of my current address.I agree to participate with the placing agency in making decisions for the child.I agree to work cooperatively with agency staff and the persons caring for the child.I agree to maintain personal contacts with the child.I agree to provide appropriate medical, social and school information to insure proper care of the child.Agency responsibilitiesThe Department of Social and Health Services (DSHS) or            
             
        %      
              ,`-`             h   *CONSENT TO FOSTER CARE PLACEMENT AND COURT CERTIFICATION FOR AN INDIAN CHILD DSHS 09-763 (REV. 03/2005)      	             N                   ,-0"                 Page 3 of 5           	        	 	     .  
    *
P+pp             Q   DISTRIBUTION:  Court file, Service file, Parent(s)/Indian custodian, Indian Tribe      	             	           P                4.7          
       	 
       
    	 	                4.8          
       	 
       
    `                4.9          
       	 
       
                     4.10          
       	 
       
    `                 4.11          
       	 
       
                     4.12          
       	 
       
    `                 4.13          
       	 
       
    P@                5          
       	 
       
                     5.1          
       	 
       
      ! H     "                          	0       
                                            Title          
                !                 agency will place the child in the home of the child's relative or in a home of facility licensed or certified by the state which meets the child's special needs and in compliance with the Indian Child Welfare Act.DSHS or            
        T X&   X  T  &          
 X                 
T X& ,  Arial         
 (f beagency will place the child in the home of the child's relative or in a home of facility licensed or            (r becertified by the state which meets the child's special needs and in compliance with the Indian Child            (~ bWelfare Act.                  ( bDSHS or                               5.2          
       	 
       
    `0  H     #                          	0       
                                            Title          
               @"              +   agency will develop with you an individual            
        	 
           0                5.3          
       	 
       
    0 H     $                          	0       
                                            Title          
               0`"              (   agency agrees to help you maintain your            
        	 
            0P             g   rights and responsibilities as a parent, and to work towards returning the child to your care.DSHS or           
         X   X              
[                 
 X ,  Arial         
 ( b_rights and responsibilities as a parent, and to work towards returning the child to your care.                  ( bDSHS or             p                 5.4          
       	 
       
    p0"             &   agency agrees to have physical custody           
        	 
           P H     %                          	0       
                                            Title          
               0  p             "   and control of the child.DSHS or           
           X    X               
 X                 
 X  ,  Arial         
 ( band control of the child.                   ( bDSHS or              `                5.5          
       	 
       
    0  H     &                          	0       
                                            Title          
                 p"@             &   agency agrees to keep you informed of            
        	 
            p $ P             Q   >the child's placement and health status.LIMITATIONS OF THIS AGREEMENTDSHS or            
         *     
         G      
              !"@                6          
       	 
       
    #p$                 6.1          
       	 
       
    "$P H     '                          	0       
                                            Title          
               #p$0!                 agency may end this agreement            
          -M$    -  $  M        
[                 
-M$ ,  Arial         
 (?agency may end this agreement               $0 &`             p   *at any time with written notice to the parent, or commencing of a court proceeding.Check one of the following:           
         U     
              %&`                6.2          
       	 
       
    & ' @     (                                
                         &'                 This agreement begins           
          
  f       &'                and ends by           
        	 
     6      &P'  H     )                          	0       
                                            Title          
               &P`'!  H     *                          	0       
                                            Title          
               ' (0                BEGINNING DATE      	             	      E      '(0                ENDING DATE      	             	      7      (	`)P             5   ENDING DATE MUST BE WITHIN 180 DAYS OF BEGINNING DATE          
       	 
    3      )p*                 OR          
       	 
       
             P003          P003      
        
    5      )p*                 OR          
        
       
             P003   
       
             P003    
         
@ 5      )p*                 OR          
         
@    
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             n          +,             h   >CONSENT TO FOSTER CARE PLACEMENT AND COURT CERTIFICATION FOR AN INDIAN CHILD DSHS 09-763 (REV. 03/2005)      	             M              N                   ,p- !                Page 4 of 5           	        	 	     .  
    *p
P+ p             Q   DISTRIBUTION:  Court file, Service file, Parent(s)/Indian custodian, Indian Tribe      	             	           p
! @     +                               
                          
!                The child has a developmental disability as defined in RCW 71A.10.020 (developmental disability means a disability attributable to mental retardation, cerebral palsy, epilepsy, autism, or another neurological or other condition of an individual found by the secretary to be closely related to mental retardation or to require treatment similar to that required for individuals with mental retardation, which disability originates before the individual attains age eighteen, which has continued or can be expected to continue indefinitely, and which constitutes a substantial handicap to the individual) and services appropriate to the child's needs can not be provided in the family home.           
         > f %   f   >  %           
-M$                 
 > f % ,  Arial         
 ( Q qUThe child has a developmental disability as defined in RCW 71A.10.020 (developmental            ( ] qgdisability means a disability attributable to mental retardation, cerebral palsy, epilepsy, autism, or            ( i q^another neurological or other condition of an individual found by the secretary to be closely             ( u qdrelated to mental retardation or to require treatment similar to that required for individuals with             (  qbmental retardation, which disability originates before the individual attains age eighteen, which             (  q_has continued or can be expected to continue indefinitely, and which constitutes a substantial            (  qahandicap to the individual) and services appropriate to the child's needs can not be provided in            (  qthe family home.               ` `                NOTE:          
       	 
       
    ` !                The child may not remain in placement beyond 180 days unless, prior to that time, the Court reviews this agreement and periodically reviews the agreement thereafter to determine if the placement continues to be in the child's best interests.  You will be notified of any hearing dates.  If the Court determines that continued placement is not in the best interest of the child, the placement agreement will be terminated.           
          ~ $   ~     $           
 > f %                 
  ~ $ ,  Arial         
 (  VThe child may not remain in placement beyond 180 days unless, prior to that time, the             (  RCourt reviews this agreement and periodically reviews the agreement thereafter to             (  `determine if the placement continues to be in the child's best interests.  You will be notified             (  [of any hearing dates.  If the Court determines that continued placement is not in the best            (  Binterest of the child, the placement agreement will be terminated.               !                  p!p             |   I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.I have read or have had read to me this consent and I understand it.  This consent has been given freely, voluntarily, and with full knowledge of the consequences.  The consent is not the result of fraud or duress, nor am I acting under the influence of anyone.           
        ^^  Be!   B     !  e        
  ~ $                 
  Be! ,  Arial         
 ( LhI declare under penalty of perjury under the laws of the State of Washington that the foregoing is true             ( Land correct.                  (3 LbI have read or have had read to me this consent and I understand it.  This consent has been given             (? Lmfreely, voluntarily, and with full knowledge of the consequences.  The consent is not the result of fraud or            (K L7duress, nor am I acting under the influence of anyone.              	P                DAY                   	                             MONTH                   	                             YEAR                   	             0                CITY                   	             	 H     ,                            `       
                                            Title          
               `              
   Dated this           
        	 
     -      `	                 day of           
        	 
              H     -                            `       
                                            Title          
               PP                ,           
        	 
             `  H     .                            `       
                                            Title          
               ` P                at           
        	 
           0   H     /                            `       
                                            Title          
               ` "                 , Washington.           
        	 
     =      0  @     0                         P       
                           Q                 SIGNATURE OF PARENT      	                 _        0! @     1                         P       
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~^䟴aHx&:skǨTWveX~׭E y'?X~	Ι]j2j&Y=^ߺx}CDcԚZ>Ue][[<Mt?>-rڍk5UBƻ}Q~Ϻ~DV]FNm54,d]žxk֨_O!xZK;}bK).!P^5uHR_+\n˲o3-GWQ@s/φ6>VgEa^O2Fr+|K Mǉ.^oK|pW=+(~>lGRS5]JQ%U  h; FꗚsIV5;܂P|ItP^x'dO8&(珎w5x<VoT}OH!R>_ };	GUUL$dFvmQr15/3/CMk=6&xݕ}СKv4Ymkh_.@䀠*WP~_=曧j:j.QٕWhg|	ACYԒDA4Ui(}+xm%Vi6PEl㤉ŋcIX>ºqۥwh]7^E UV,1@/[> '|@񝮫q}uq=Ѫ#׭Q@Q@Q@        H0          p0                 D p0          		             P   This section must be completed in Court in the presence of a Judge/Commissioner.          
       
 
      
    
!                  `                  I declare under penalty of perjury under the laws of the State of Washington that I wish to place my child in foster care as provided in the foregoing consent and that the information in the consent is true and correct.           
          E    E                
[                 
  E  ,  Arial         
 (  OeI declare under penalty of perjury under the laws of the State of Washington that I wish to place my            (  Oechild in foster care as provided in the foregoing consent and that the information in the consent is            (  Otrue and correct.                           	   Signed at           
        
 
     *        H     4                                 
                                            Title           
                                 , Washington           
        
 
     ;       p` H     5                                 
                                            Title           
               
                day of            
        
 
           
p  H     6                                 
                                            Title           
                @     7                                
                                             PARENT'S SIGNATURE:      	                 [        !@     8                                 
                            0!                 PARENT'S SIGNATURE:      	                 [       !@     9                                 
                           !                 INDIAN CUSTODIAN'S SIGNATURE      	                        @!    8              0                COURT CERTIFICATION      
    	       
 	     h  	    @ 0!                                    Pursuant to RCW 13.34.245(1) and the Indian Child Welfare A ct of 1978, 25 U.S.C. Section 1913(a), I hereby certify that this consent was executed by the parent/Indian custodian in writing and recorded before me; that the terms and consequences of the consent were fully explained in det ail in the parent's/Indian custodian's primary language, and that the parent/Indian custodian fully understood the consequences of giving such consent.           
         E   E              
[                 
 E ,  Arial         
 ( OZPursuant to RCW 13.34.245(1) and the Indian Child Welfare A ct of 1978, 25 U.S.C. Section             ( Og1913(a), I hereby certify that this consent was executed by the parent/Indian custodian in writing and            ( Ocrecorded before me; that the terms and consequences of the consent were fully explained in det ail            ( O`in the parent's/Indian custodian's primary language, and that the parent/Indian custodian fully             ( O3understood the consequences of giving such consent.              0!!@     :                                                             @ !                 JUDGE/COMMISSIONER'S SIGNATURE:      	                        p H     ;                                 
                                            Title           
               0                this           
        
 
           @                ,           
        
 
           	  H     <                                 
                                            Title           
                P                day of            
        
 
            P  H     =                                 
                                            Title          
               P   H     >                                 
                                            Title          
               	                CERTIFIED this           
        
 
     G      P                ,           
        
 
           "$0!                 f the child's residence/domicile is located within the boundaries of a federally recognized Indian reservation, contact the Tribe to determine jurisdiction and placement authority.          
        RR# gM#   g  #  #  M        
 E                 
# gM# ,  Arial        
 (5 q\f the child's residence/domicile is located within the boundaries of a federally recognized          (@ qXIndian reservation, contact the Tribe to determine jurisdiction and placement authority.              "#                NOTE:          
       
 
       
    +,              h   >CONSENT TO FOSTER CARE PLACEMENT AND COURT CERTIFICATION FOR AN INDIAN CHILD DSHS 09-763 (REV. 03/2005)      	             M              N                   ,`-!                Page 5 of 5           	        
 	     .  
                >   PARENT'S/INDIAN CUSTODIAN'SIN-COURT DECLARATION AND SIGNATURE       
              W        W             
# gM#                        
 W   ,  Arial         ( kPARENT'S/INDIAN CUSTODIAN'S                ( y "IN-COURT DECLARATION AND SIGNATURE                       P005                
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