ࡱ                >  	               =          ?          <       `	               |0   bjbj                  	 [@      >                                                                                                        $           v    >      >      >      >  D     l   	      F                                 ;     '       \   >  :  IF      IF      IF      IF      IF      IF  $   G  h  J     mF  9                         7                           ;      7      7      mF                                            F                       7  
                              2                                                                7      >                                                                                                                        b        >      A  
                     F  0   F            J      K  `  J                                                                                    J                      ,   7      7            7      7                                      7      7      7      mF      mF                                        
                                   7      7      7      F      7      7      7      7              	      	      	  D  >      	      	      	      >      6  $   Z     r                                         F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          M I S S O U R I   D E P A R T M E N T   O F   S O C I A L   S E R V I C E S  F A M I L Y   S U P P O R T   D I V I S I O N  A U T H O R I Z A T I O N   F O R   R E L E A S E   O F   I N F O R M A T I O N    F R O M  C A S E W O R K E R   N A M E     F O R M T E X T            T E L E P H O N E   N U M B E R     F O R M T E X T         -    F O R M T E X T         -    F O R M T E X T                 F O R M T E X T            L O A D   N O .     F O R M T E X T            D A T E     F O R M T E X T      D A T E   \ @   " M M / d d / y y y y "    0 5 / 2 7 / 2 0 0 5    0 5 / 0 5 / 2 0 0 4      C O U N T Y   O F F I C E   A D D R E S S     F O R M T E X T                   F O R M T E X T                   F O R M T E X T              T O  N A M E     F O R M T E X T               A D D R E S S   ( N U M B E R   A N D   S T R E E T )     F O R M T E X T               C I T Y 	 	 	 	 	 S T A T E 	 	 Z I P   C O D E     F O R M T E X T              R E  C A S E   N A M E     F O R M T E X T            C A S E   N U M B E R     F O R M T E X T                 I   a u t h o r i z e   t h e   r e l e a s e   o f   i n f o r m a t i o n   r e g a r d i n g   m y   s i t u a t i o n   d e s c r i b e d   b e l o w   t o   r e p r e s e n t a t i v e s   o f   t h e   M i s s o u r i   F a m i l y   S u p p o r t   D i v i s i o n .                     	  	  	  	  	  &	  (	  *	  L	  N	  b	  d	  f	  l	  n	  p	  r	  	  ŹŁygUyy                                    "j    hI. OJ QJ UmH nH u #j  hI. hI. OJ QJ UhI. OJ QJ  j    hI. OJ QJ U"j    hl- OJ QJ UmH nH u #j1  hl- hl- OJ QJ Uhl- OJ QJ  j    hl- OJ QJ UhI. CJ OJ QJ  hI. 5OJ QJ 
hI. CJ  hI. 5CJ OJ QJ hI. CJ OJ QJ  hI.  j    hI. U      R            	  *	  L	  	  	  
  (
                                                                                                                          }                        }                                  $( $If   a$  ( $If     $x $If   a$ G  kd  $$If   l h0 *                  '                                          4 
l a    $If     x $If   ^
  $If   ^    |0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  	  
  
  
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  *
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  l
  n
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  ǵǧ~l~_                     h^ OJ QJ mH nH u#j  hI. hI. OJ QJ UhI. CJ OJ QJ  hI.  !jO  hI. CJ OJ QJ UhI. CJ OJ QJ  j    hI. CJ OJ QJ U#j  hI. hI. OJ QJ UhI. OJ QJ  "j    hI. OJ QJ UmH nH u j    hI. OJ QJ U#j  hI. hI. OJ QJ U !
  
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               &  (  ,  .  0  2  4  H  J  L  V  X  ǽ}ǽi}ǽU} 'j  hl- hl- EHOJ QJ U'j)  hl- hl- EHOJ QJ U&j    hl- EHOJ QJ UmH nH u 'j  hl- hl- EHOJ QJ Uhl- EHOJ QJ  j    hl- EHOJ QJ UhI. CJ OJ QJ  hI. 5OJ QJ hI.  hI. OJ QJ mH nH uj    hI. OJ QJ U#j]  hI. hI. OJ QJ U !(
  
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              v            m            g            Z                        g                                                                       dP   $If   ^  $If   	  $$If   a$   kd  $$If   l  r $* <                    	                                                                            4 
l a    ( $If    
  
       *  ,                                      z                                                                                                                                                                                     x $If     $If   	  $$If   a$ m  kdT  $$If   l  \ )* <               .             $           
                                                           4 
l a   ,  .  0  2  Z  \                                      z            m                                                                                                                                               d8   x $If     x $If     $If   	  $$If   a$ m  kd  $$If   l  \ )* <               .               $         
                                                             4 
l a   X  Z  \  ^  d  n  p                                       4  6  J  L  N  X  Z  ^  `  f  z  |                  ٳ𫧜𫧃xpj    hI. Ujl#  hl- Uj!  hl- Uj    hl- UmH nH u j  hl- Uhl-  j    hl- Uj    hl- CJ UmH nH u jK  hl- hl- CJ U
hl- CJ  j    hl- CJ UhI. 5OJ QJ hI.  hI. CJ OJ QJ  
hI. CJ ,\  ^  d  n                              |            t            n                                                                                                                                                 $If      $If   
  $If   ^  $x $If   a$ m  kd  $$If   l  \ )* <             .             $           
                                                    4 
l a                                                                                                                                                                                                                                                          $If     P $If   
  $If   ^	  $$If   a$ Z  kdQ  $$If   l F * <                                                                                4 
l a          4  \  ^                                                                                                                                                                                                                                             $If     P $If   
  $If   ^	  $$If   a$ Z  kd   $$If   l  F * <                                                                              4 
l a   ^  `  f  z                                                                    |                                                                                                                                                            $ $If   a$   $If   
  $If   ^  $x $If   a$ Z  kd"  $$If   l  F * <                                                                              4 
l a                           ,  ,  ,  ,  ,  *,  ,,  .,  B,  D,  R,  T,  V,  ,  kbQ                                       hI. 5CJ OJ QJ mH nH u hI. mH nH u-jh'  hl- hl- >*CJ UmH nH uhI. CJ mH nH u'j4&  hI. >*CJ UmH nH uhI. >*CJ mH nH u !j    hI. >*CJ UmH nH uUhI. 5OJ QJ mH nH u hI.  hI. CJ OJ QJ  j    hI. UmH nH u j    hI. Ujb$  hI. U            ,  ,  ,,  T,                          i            `                                                                                                                	  $$If   a$ 4  kd%  $$If   l  * *                        4 
l a    $If    Z  kd(%  $$If   l F * <                                                                    4 
l a        F O R M T E X T               F O R M T E X T             I N F O R M A T I O N   S H A L L   B E   R E L E A S E D   B Y      F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T             I   ( w e )   h e r e b y   r e l e a s e   a n y   p e r s o n ,   f i r m ,   p h y s i c i a n ,   c l i n i c ,   o r   h o s p i t a l   f r o m   a n y   l i a b i l i t y   f o r   i n f o r m a t i o n   f u r n i s h e d   p u r s u a n t   t o   t h i s   a u t h o r i z a t i o n .    C L I E N T   S I G N A T U R E  D A T E    S I G N A T U R E   O F   S P O U S E  D A T E   S I G N A T U  R E   O F   O T H E R  D A T E   A D D R E S S   ( S T R E E T ,   C I T Y ,   S T A T E ,   Z I P   C O D E )     F O R M T E X T             M O   8 8 6 - 0 6 8 3   ( 7 - 8 9 ) / E   0 5 - 2 0 0 4  P E R M A N E N T     I M - 6   ( 7 - 8 9 ) / E   0 5 - 2 0 0 4     	    F O R M T E X T            	    F O R M T E X T            	    F O R M T E X T                                                                                                                                                                                                                                                                                                                                                                                                                 T,  V,  ,  ,  ,  ,  -  :-  <-  d.                                                                                                  x                                                                                                 $ ! $If   a$ 4  kd.  $$If   l  * *                        4 
l a    $If   
  $If   ^ 4  kdz)  $$If   l  * *                          4 
l a   	,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,  ,   -  -  -  -  -  (-  *-  8-  :-  <-  -  .  b.  qmZGZ                  $hI. 5@ CJ OJ QJ mH nH u $hI. 5@ CJ OJ QJ mH nH u hI.  hI. 5OJ QJ mH nH u -j-  hl- hl- >*CJ UmH nH u-jy+  hl- hl- >*CJ UmH nH u'j*  hI. >*CJ UmH nH uhI. CJ mH nH u'j)  hI. >*CJ UmH nH uhI. >*CJ mH nH u !j    hI. >*CJ UmH nH u b.  d.  f.  h.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .   /  P/  R/  f/  h/  v/  x/  z/  /  /  ʻʻ魣ʔʔʄycR                hI. 5CJ OJ QJ mH nH u *j0  hl- hl- CJ UmH nH u hl- CJ mH nH uj    hl- CJ UmH nH u hI. CJ OJ QJ mH nH uhI. CJ OJ QJ  j    hI. UmH nH u hI. 5OJ QJ mH nH u hI. CJ OJ QJ mH nH uj    hI. CJ UmH nH u hI.  $hI. 5@ EHOJ QJ mH nH ud.  f.  .  .  .  .  .                                      r                                                                                                                                                               G  kdc/  $$If   l D0 * 2                                           4 
l a  
  $If   ^  $If    4  kd/  $$If   l  * *                        4 
l a   .  .  .  .   /  P/  x/                                      _                                                                                                                         G  kdE0  $$If   l D0 * 2                                           4 
l a  
  $If   ^  $If    G  kd/  $$If   l D0 * 2                                           4 
l a   x/  z/  /  /  /  /  &0  P0  z0  |0                                      o            m            h            h            h            m                                                                &    G  kd_2  $$If   l 80 *                s                                        4 
l a  	  $$If   a$
  $If   ^ 4  kd2  $$If   l D * *                        4 
l a   	/  /  /  /   0  0  0  $0  &0  (0  *0  >0  @0  N0  R0  T0  h0  j0  x0  |0  ܺܯ                                                                                                                                                                                                                                                           j3  hI. Uja3  hI. Uh  j2  hI. Uj    hI. UhI.  hI. CJ OJ QJ mH nH u hI. 5CJ OJ QJ mH nH u( / =!"#$h%  / &P 0p5 ;!`"`#$%                                                                                                                                                                                                                                                                                                                                                                                                                                         D d ?  
             ,                                  0   
      
  #    A              b J  k2 &     D       n  k2PNG

   IHDR        3]F   gAMA  |Q   	pHYs    +  IDAThޭoIvǫ,L0`q:`8,	/PPf@;6X,IffH{=tX;^_^Ո̻`G0o>y$gٿ\~8U\l>(dwQyvw>Lncf]_GA왲X{zH7mM:sbz!1ϵmSI)M}lb"ʢ8X|Ѿc;A*Ve E/kQvLкH]3	1q\zCH/[f^XUXG1ND!0WsP@N*IxLƉQ4cnuhYAi`gt0G{s;LgA<.ӛfy5^=et#-2Ҭ$]xc
W~&5r)-LȻ($7&^Y@CLXr
@u
:1?n0<S(nN?c2(oL1=0W:6ʚ٦lN$/a?wmO+fM?,g1dvS<ϰ=;EXӹoT*,~-:mk5ugqѱm2bOPYˮ)?n!Q#c曛LOڇo6th)E>lIn - WжSQ[mBCRȋtnkpGOf[HuaOCݺ>nu	SbAy.bL?SΎj])5ptbX%yNǼmAY8Ój_;sCe{gu&7A<
VfFaq5.9ZEc/z>6JLjs9eX1j15"(, eb|NgTPTl­얁FeD(UƋ)ȭg	M^\5S2 fNb@җ_tLI+s`yiQ)YdZRBP*9RFxm\Od<yNψL0/)"$g0Ekzbh[@>S*_"0/I4:-İ\1=1x|5'̠DwZ4?cr`^22+<6wT6IR\L;IR[@S>g5g
(o`=mUD32%ILİ Dl
ܝU)f	d<cݞK9A1]EYi]j<	\f^4
-zIi.[D
ҤPnbvʙXI9&CZ	
*RA<F645LJ2V6Tab8QsiqZ8q"m Oz|U o;0<>)KmL">0*|u)\*xaJ1/E\ߕ1/ǈ]2Y:=EʛA;T9xZ%׆mA;i2ъqְ_k6yeMgyx<G	7}3bT2oSP	a'WTb:ݕeд4C>MGvsb5eɡٹx LUsb$y&Mʞ9C!VX005f s'NDYHf9]'Vr|)QX~JvL-pUE1Nl9<:CuRW}rugy*<7QĨ1_GЗzИlBe<ucK[?$3U?u{Y'ӠF0ckA9	;:ERM`W=0gW}I9٘fᯙFeV>_O~Mv3[A	f4\>FΌČyb̔dH\r)8Oϧ4{&g&y}&lmAcGH$E}*/-jxEzL(Kcn:.0NɭH80;<g#7[Htfx%Zf'jvw}0ܖgA׺S$8ZBz8^`T=Iȑa1矟'STP*x?Ȏ.O*ĘΉ􊗽RQda#GYk?bl<}Wi3)V{02-r|X{eE/~oy@=8߬ikϯrgL@{*Ec,XR(wD^fsLPT)&"Px'H=P+fWtL8by-RO+vFr#R]c/iƮ7Ŧ1Ue-T2.oRycTlau_4+y{
5 u6o[Xj|<g̵[m3SjʦΈm[XC)򵠪cFL=,\(rf<3(쩠}#dO)0jbw@we81`'/8?H(;>^KʒȨI8BT.gQ7dgOC%͐?64F/cP9m0Kn{\1+YSc-P0DL-R#([C3|N~3V"Gs&&Pȉ_mU7|JLsnu2<vn)P#21NaOA=(vĈI\ƥz-v08AD*Gߔ/vrUE1;۳W4}1\|^ DE]fzy$bZNYGʖ]J&ڔf11 Nk-Cѳm޶W=fBeXR|6ű}E9j짴]J[*RO%Y(b|>Vntc7JrjvdP<)%5"H%ubr91AI
-ieF۽J@fa*NxcTPyWߓA`8-v"uY64
sH:#:8/q#Ŗ|#Uzz`%J|_*=+gUY`ϩj~jl,˦ A;(hRt}3TJj5G&Y[#}^s2 xlaQ4{4Ybv%zsft+D7NN7X D|fiae>/Aa9veZ͗|lbAL2ĎE{ =Js5tHgCX)We-j1(g_1FY/ݺU-N"=}Ĕdcײ=?P(̝d(8댦 :yzYN`M9nZdqlD:d4F^ sb'|8A8/R2&`)9n3t5uKAGYb(ľ*O׎!\L:Z㈁r>{T|sH{D%&lKAW|PiKR%v7t\a=/'j)OQkGރQidZaȼ%ҨOw#/RӪ{HH]mU.\^U:X=T]5"WNxYM/gew؜8V 8m%ֳ~kxUAɱ&`8_RPX2܍O@\3w|BnOm;4{{[K0ҝ}cO7Sdu-i}yLEtB7oGoES,^gFX>ê#§lN1a[Ōp˅/r=a_L3e>+h)|0||qӝ-6lTгM.1I4_s'/b_HM'`7N5J&Yg_N@i)	<1Vm[=SP.8N?îTzjWwRx!iWFk 8ĚUbRsV<&e
;KsmoA)(^zj9i[/#:42;n0Tty{IaCUPQ͖!?kZ!z,ޟgXw{E'=TE#ҎAЖtx)(nVw[CiwQrtn\!7WVLj!Cw)}6gfcKg0^p FϥSy5;2@Ԛޠ*ޑ<,?!YN=ğ^=V	xKJ~?P,U7W(O<]Ҷe*Qn71
#0S-ȵؿ=6ajco_!O6^\ng7'j6cemg	FQo>jmtkO7tQ0j;vnk{)̨h?wY2,g}.Vûirz;L̽.6=+tzY.s|Zǟd|s313?\ w-    IENDB`a $$If     !v h5 5'#v #v':V l h     5 5'4       D                                                                    C N C            F o r m   C r e a t e d   b y   2 6 6 7 0 ! ! !    E n t e r   c a s e w o r k e r   n a m e    S h o w 6 T o o l b a r . M A I N          D                                                                    I C A C               $ E n t e r   c o u n t y   o f f i c e   t e l e p h o n e   n u m b e r              D                                                                    I C P r C               $ E n t e r   c o u n t y   o f f i c e   t e l e p h o n e   n u m b e r              D                                                                    I C P h C               $ E n t e r   c o u n t y   o f f i c e   t e l e p h o n e   n u m b e r           |   D                                                                      Text20       Additional telephone comment        D                                                                    L N C                E n t e r   l o a d   n u m b e r              D                                                                     T e x t 2       
 M M / d d / y y y y                    $$If     !v h5 <55	55#v <#v#v	#v#v:V l       5 <55	55/      /	     /4       D                                                                     I A C                E n t e r   c o u n t y   o f f i c e   n a m e            $$If     !v h5 <5.5$5
#v <#v.#v$#v
:V l       5 <5.5$5
/     /      //	     /     4       D                                                                     I C M C               # E n t e r   c o u n t y   o f f i c e   m a i l i n g   a d d r e s s            $$If     !v h5 <5.5$5
#v <#v.#v$#v
:V l       5 <5.5$5
/      /     /     //     4       D                                                                     I C C S Z C               , E n t e r   c o u n t y   o f f i c e   c i t y ,   s t a t e   a n d   Z I P   C o d e            $$If     !v h5 <5.5$5
#v <#v.#v$#v
:V l       5 <5.5$5
/      //     /     4      D                                                                     A N               L E n t e r   t h e   n a m e   o f   t h e   p e r s o n   o r   i n s t i t u t i o n   f r o m   w h i c h   i n f o r m a t i o n   i s   s o u g h t            $$If     !v h5 <55#v <#v#v:V l      5 <55/
     /      4      D                                                                     A M               O E n t e r   t h e   a d d r e s s   o f   t h e   p e r s o n   o r   i n s t i t u t i o n   f r o m   w h i c h   i n f o r m a t i o n   i s   s o u g h t            $$If     !v h5 <55#v <#v#v:V l       5 <55/     /      /
     4    4  D                                                                     A C S Z C               ` E n t e r   t h e   c i t y ,   s t a t e   a n d   Z I P   C o d e   o f   t h e   p e r s o n   o r   i n s t i t u t i o n   f r o m   w h i c h   i n f o r m a t i o n   i s   s o u g h t            $$If     !v h5 <55#v <#v#v:V l       5 <55/     /      /
     4       D                                                                    C N           1 E n t e r   t h e   n a m e   o f   t h e   p e r s o n   g i v i n g   a u t h o r i z a t i o n    E n t e r   t h e   c a s e   n a m e              D                                                                    T e x t 1 4            E n t e r   t h e   C a s e   N u m b e r    E n t e r   t h e   c a s e   D C N              $$If     !v h5 <55#v <#v#v:V l      5 <55/     /      /      /      4    Y $$If     !v h5 *#v *:V l      5 */      4    4  D                                                                     Text15     kEnter the information required for investigation such as financial holdings, employment, medical history... iEnter the information required for investigation such as financial holdings, employment, medical history.       D                                                                               k E n t e r   t h e   i n f o r m a t i o n   r e q u i r e d   f o r   i n v e s t i g a t i o n   s u c h   a s   f i n a n c i a l   h o l d i n g s ,   e m p l o y m e n t ,   m e d i c a l   h i s t o r y . . .   i E n t e r   t h e   i n f o r m a t i o n   r e q u i r e d   f o r   i n v e s t i g a t i o n   s u c h   a s   f i n a n c i a l   h o l d i n g s ,   e m p l o y m e n t ,   m e d i c a l   h i s t o r y .           Y $$If     !v h5 *#v *:V l      5 */ 
     4       D                                                                     Text17     LEnter the name of the person or institution from which information is sought LEnter the name of the person or institution from which information is sought        D                                                                      Text18       LEnter the name of the person or institution from which information is sought       D                                                                               L E n t e r   t h e   n a m e   o f   t h e   p e r s o n   o r   i n s t i t u t i o n   f r o m   w h i c h   i n f o r m a t i o n   i s   s o u g h t   L E n t e r   t h e   n a m e   o f   t h e   p e r s o n   o r   i n s t i t u t i o n   f r o m   w h i c h   i n f o r m a t i o n   i s   s o u g h t             D                                                                               L E n t e r   t h e   n a m e   o f   t h e   p e r s o n   o r   i n s t i t u t i o n   f r o m   w h i c h   i n f o r m a t i o n   i s   s o u g h t   L E n t e r   t h e   n a m e   o f   t h e   p e r s o n   o r   i n s t i t u t i o n   f r o m   w h i c h   i n f o r m a t i o n   i s   s o u g h t           Y $$If     !v h5 *#v *:V l      5 */      4    Y $$If     !v h5 *#v *:V l      5 */      4    o $$If     !v h5 25#v 2#v:V l D     5 25/      4    o $$If     !v h5 25#v 2#v:V l D     5 25/      4    o $$If     !v h5 25#v 2#v:V l D     5 25/      4    N  D                                                                    T e x t 1 9           : E n t e r   t h e   m a i l i n g   a d d r e s s   o f   t h e   c l a i m a n t   s i g n i n g   t h e   f o r m   2 E n t e r   m a i l i n g   a d d r e s s   o f   c l a i m a n t   s i g n i n g   t h e   f o r m           Y $$If     !v h5 *#v *:V l D     5 */      4    o $$If     !v h5 5s#v #vs:V l 8     5 5s/      4       D                                                                      EN   	Uppercase   ,Return Address - Enter the Addressee's name.        D                                                                      EM   	Uppercase   %Enter the addressee's mailing address        D                                                                      ECSZ   	Uppercase   &Enter the addressee's city, state, zip                                                                                                                                                                                                                                                                                                                                                                                                                                     	   
                                                                      "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   8   9   :   ;   >   C   R   A   B   D   N   E   F   G   H   I   J   K   L   M   O   W   P   Q   S   e   T   U   V   X   b   Y   Z   [   \   ]   ^   _   `   a   c   l   d   f   x   g   h   i   j   k   m   w   n   o   p   q   r   s   t   u   v   y      z   {   |   }   ~         R o o t   E n t r y                                              !   	           F            qb@   @t      D a t a                                                         
                                     !   x4      W o r d D o c u m e n t                                                                                      [@      M a c r o s                                                      #                          `}bb            V B A                                                                                    `}b cb            T h i s D o c u m e n t                                                                                              _ _ S R P _ 4                                                                                                  _ _ S R P _ 5                                                        	                                          B                               	   
                                                             !   "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   6   7   8   9   :   ;   <   =   >   ?   A   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z   [   \   ]   ^   _   `   a   b   d   e   f   g   h   i   k   m   n   o   p   q   r   s   t   u   v   w   x   y   z   {   |   }   ~             D       r             ]  #              <   
 gF	           F                   n\ŊkB5a1G               x   n\ŊkB5a1G
 gF    ME                   (    SL   S   S    6"       N 0 { 0 0 0 2 0 9 0 6 - 0 0 0 0 - 0 0 0 0 - C 0 0 0 - 0 0 0 0 0 0 0 0 0 0 4 6 }        (                  %   H   @    h               %                 %   X                          p   @           @        0   VA $ * \ R f f f f * 0 3 4 3 f d c 3 9 e      4                                                                     x      Attribut e VB_Nam e = "Thi sDocument"

Bas0{00020P906- 0C $0046}|GlobalSpacFalsedCreatablPredecla Id TruBExposeTempl ateDerivBustomizD2                                                  rU                    	       	                          1      Y            	        4         a                [`          rU                    	          @          n                                                                    C o p y 6 A d d r e s s e e I n f o T o E n v e l o p e         :                                              _ _ S R P _ 6                                                                                        5         _ _ S R P _ 7                                                                                              @   g       P r i n t F o r m P r i n t E n v e l o p e                     .                                           B                      F         ]                                                                                        x                                       ME                    (     6
        L    <                `               Xk              0    x                %   8  P       r o d u c t  i @x	         @h  h         @X                                  P                 @   VA $ * \ R f f f f * 0 4 4 3 f d c 3 9 e  * \ R 1 * # 1 7 b  * \ R 1 * # c 1                                                               	     "          &      
         & 0     
  H      & X     
  p      &      
        &      
        &      
        &                    AN "  B@    T   B@$  L   U   EN "  B@  D I   B@&  E   W   AM "  B@  E C   B@$  .     EM "  B@  h     B@&   P  ACSZC  "  B@    B@$   R  ECSZ "  B@    B@&  X   CN "  B@  o          Attribut e VB_Nam e = "Cop y6Addres seeInfoT oEnvelop e"

Pu blic Sub  MAIN() 
WordBas ic.WW7_EditG j De stination:="AN |RJk$=E=Pastte%|M:|*>CxSZC?  @CEnd
                                                               rU              ~|         	       	                  	            9            i	      1	      	      	      	      )
      I
      i
      
      
            &:h  %x $ @  x    x x $ @  x   x &:h %x $ @  x    x x $ @  x   x &:h	 %x $ @  x    x x $ @  x   x &:h
 %x $ @  x    x x $ @  x   x &:h %x $ @  x    x x $ @  x   x &:h %x $ @  x    x x $ @  x   x &:h %x $ @  x    x        $ $                                 x     k                  rU                    	              $          `                 n                                          *  &         ]0v                                                                                        x                                       ME                    (     6
        L    <                `               k              0   ( x                %   8  P       r o d u c t  i @x	         @h  h         @  X         @  H         @  8         @  (         @           @           @           @(           @@           @X           @p           @       x  @           @           @  x         @  h         @   X         @  H         @0  8         @H  (         @`           @x           @         h                        P                  @   VA $ * \ R f f f f * 0 5 4 3 f d c 3 9 e  * \ R 1 * # 1 7 b  * \ R 1 * # c 1                                                               	     "         n ~       x                ,  0  .    0    2    h    l  1  4    6    8    :   <    >  B@*   o       ԰ Attribut e VB_Nam e = "Pri@ntForm@E nvelope" 

Publ ic Sub M AIN()
W ordBasic .Filed AppendPr" :=0, Ran ge:="0", PrTo0 $! From	Toyp . 8Num@Copies 1<ag 
Ord<er]tTCollat @1, A	i
End 
                                                            rU              ~|         	       	     	             
      
      	            9            )      !      a                        	      )      Y      y                                ~(h  %:H  %:( %: %: %(  %: %: %(h  %(H  %(( %: %x $ @  x_ _ S R P _ 8                                                                                        c         _ _ S R P _ 9                                                                                              j   g       C o p y 6 W o r k e r I n f o                                                                         l   +      _ _ S R P _ a                                                                                           L           	 
         x         $                                 x     k                              rU                    	              $          `                 n                                          ]           ]                                                                                        x                                       ME                   (     6
        L    L                `               8k              0   @ x                %   8  P       r o d u c t  i @x	         @h  h         @  X         @  H         @8                                  P                  @   VA $ * \ R f f f f * 0 6 4 3 f d c 3 9 e  * \ R 1 * # 1 7 b  * \ R 1 * # c 1  * \ R 1 * # c 1                                                               	     "          ( p     &        & (     
  H      & X      & x                                                                                                                                                                                                                                                                                                                                                                                   
        &       &      
        "       &       &      
  8     & H     `            wrkrINFO.DOT   B@D T   CaseworkerName "  B@    B@$  D     IM-6.dot   B@D  h     CNC  "  B@  SZ  B@&  B@    wrkrinfo.dot   B@D  
 LoadNumber "  B@        B@$      B@F   IM-6.dot   B@D   LNC  "  B@    B@&    AN "  B@  (o x   p     D:\FSforms\      B@B ta     Attribut e VB_Nam e = "Cop y6Worker Info"
 
Public  Sub MAIN()
 dBa sic.ChDe faultDir  "D:\FSf orms\", 0	PFileOpen :="w rkrINFO.DOT fQWW7 _EditGoT o Destin ation 3CasewD
51rIM-6.dot&nNC1Pas4teki )4Lo adNumber7iClose 2IuL:XfAN@.EndA
                     rU              ~|         	       	           
       Y            9                        9            i      i	      1	      	                  	            Y                  	            L      (:h %(H  %x $ @  x  x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x "(h %x $ @  x  x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x 	  
 x          D $                                 x     k                                                          rU                    	     
         $      
    `                 n                                          ]  
         ]9                                                                                        x                     _ _ S R P _ b                                                    
                                             g       C o p y 6 C o u n t y I n f o                                                                                         _ _ S R P _ c                                                                                                 _ _ S R P _ d                                                                                                 g                         ME                   (     6
        L    L                `               8k   ) )          0   H x                %   8  P       r o d u c t  i @x	         @h  h         @  X         @  H         @8                                  P                  @   VA $ * \ R f f f f * 0 7 4 3 f d c 3 9 e  * \ R 1 * # 1 7 b  * \ R 1 * # c 1  * \ R 1 * # c 1                                                             *  	     "          (      &       & (     
  H      & X      & x     
        &        &      
        &       &     
  (     & 8    & & X    
       &      &     
       &      &     
       & (     & H    
  `     & p      &     
       &      &     
       &      & (    
  H     " X     & h     &     
       &                   CTYINFO.DOT    B@D   IAgency  "  B@        B@$          IM-6.dot   B@D  h     IAC  "  B@  SZ  B@&  B@    CTYINFO.DOT    B@D   ICountyMailing "  B@    B@$  h  IM-6.dot   B@D       ICMC "  B@      B@&          CTYINFO.DOT    B@D     ICountyCityStateZIP  "  B@      B@$          IM-6.dot   B@D         ICCSZC "  B@    B@&          CTYINFO.DOT    B@D   ICountyArea  "  B@    B@$      IM-6.dot   B@D         ICAC "  B@    B@&     Ռ  CTYINFO.DOT    B@D   ICountyPrefix  "  B@    B@$  0  IM-6.dot   B@D   ICPrC  "  B@    B@&     e  CTYINFO.DOT    B@D   ICountyPhone "  B@      B@$        B@F     IM-6.dot   B@D        ICPhC  "  B@    B@&          AN "  B@      o         D:\FSforms\      B@B       ` Attribut e VB_Nam e = "Cop y6County Info"
 
Public  Sub MAIN ()
Word Basic.Ch DefaultD ir "D:\F Sforms\", 0	PFile Open := "CTYINFO0.DOT ePWW 7_EditGo To Desti@nation 2IAgency
.*jIM-6.dot'gC1PastegMailing9NkCMk CityStatpeZIP?7نCxCSZ7ƵArea55A?5(5Prefixy?l,yCPr.5PhoneClose 2GCPh.AN`End 
                                                     rU              ~|         	       	                  Y            9                  	      9            I      i	      1	      	            y      	                        q                  	      Q      y                  	              X    (:h %(H  %x $ @  x  x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x "(h %x $ @  x  x &:h %x $ @  x    x &:h %x $ @  x 	  
 x x $ @  x   x &:h %x $ @  x 	  
 x          D X$                                 x     k                                                                  rU                    	              $          `                 n                                          *  &         ]                                                                                        x                                       ME                    P r i n t F o r m O n l y                                                                                        _ _ S R P _ e                                                                                                 _ _ S R P _ f                                                                                                g       S h o w 6 T o o l b a r                                                                                 u      (     6
        L    <                `               k              0   J x                %   8  P       r o d u c t  i @x	         @h  h         @  X         @  H         @  8         @  (         @           @           @           @(           @@           @X           @p           @       x  @           @           @  x         @  h         @   X         @  H         @0  8         @H  (                   	  
                                         !  "  #  $  %  &  '  (  )  *  ,  -  .  0  2  3  4  5  6  7  8  9  :  ;  <  =  >  ?  @  A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  [  \  ]  ^  _  `  a  b  c  d  e  f  g  h  i  j  k  m  n  o  p  q  r  s  t  u  v  w  x  y  {  |  }  ~            @`           @x           @         h                        P                  @   VA $ * \ R f f f f * 0 8 4 3 f d c 3 9 e  * \ R 1 * # 1 7 b  * \ R 1 * # c 1                                                               	     "         p ~       x                ,  4  .    0    2    h    l  1  4  1  6    8    :   <    >  B@* o       ˰ Attribut e VB_Nam e = "Pri ntFormOn ly"

P ublic Su b MAIN() 
WordBa sic.Filed AppendPr":=0,  Range:=" 4", PrTo0 $ "From	Toyp . 8 NumCopieJs 1<agOrder^uU@Collat A1, 	j
End
     rU              ~|         	       	                        
      	            9            )      !      a                        	      )      Y      y                                ~(h  %:H  %:( %: %: %(  %: %: %(h  %(H  %(( %: %x $ @  x     	 
         x         $                                 x     k                              rU                    	              $          `                 n                                          B           ]                                                                                        x                                       ME                    (     6
        L    <                `            x   8k              L p                %   0  H      (  k @x	     @`  h      @x  X      @  H     @8     B                         H                  @   VA $ * \ R f f f f * 1 J 4 1 f 6 5 6 8 f  * \ R 1 * # 1 7 b  * \ R 1 * # c 1                                                               	     "         " .       0   @           6Toolbar P   R  B@N    o H   @     m Attribut e VB_Nam e = "Sho w6Toolba r"

Pu blic Sub  MAIN() 
WordBasic.ViewXDs :=", :=1
End
           rU              ~|         	       	                             9                  a            h   4     .:h  %(H %x $ @  x     x        D 4 $                                x     k              rU                    	              $         _ _ S R P _ 2                                                                                           +         _ _ S R P _ 3                                                                                              /  g       _ V B A _ P R O J E C T                                                                               1        d i r                                                                                                l  G       `                 n                               ay   	  	               * \ G { 0 0 0 2 0 4 E F - 0 0 0 0 - 0 0 0 0 - C 0 0 0 - 0 0 0 0 0 0 0 0 0 0 4 6 } # 4 . 0 # 9 # C : \ P R O G R A ~ 1 \ C O M M O N ~ 1 \ M I C R O S ~ 1 \ V B A \ V B A 6 \ V B E 6 . D L L # V i s u a l   B a s i c   F o r   A p p l i c a t i o n s             * \ G { 0 0 0 2 0 9 0 5 - 0 0 0 0 - 0 0 0 0 - C 0 0 0 - 0 0 0 0 0 0 0 0 0 0 4 6 } # 8 . 3 # 0 # C : \ P r o g r a m   F i l e s \ M i c r o s o f t   O f f i c e \ O F F I C E 1 1 \ M S W O R D . O L B # M i c r o s o f t   W o r d   1 1 . 0   O b j e c t   L i b r a r y              * \ G { 0 0 0 2 0 4 3 0 - 0 0 0 0 - 0 0 0 0 - C 0 0 0 - 0 0 0 0 0 0 0 0 0 0 4 6 } # 2 . 0 # 0 # C : \ W I N D O W S \ S y s t e m 3 2 \ s t d o l e 2 . t l b # O L E   A u t o m a t i o n             (* \ G { 2 D F 8 D 0 4 C - 5 B F A - 1 0 1 B - B D E 5 - 0 0 A A 0 0 4 4 D E 5 2 } # 2 . 3 # 0 # C : \ P r o g r a m   F i l e s \ C o m m o n   F i l e s \ M i c r o s o f t   S h a r e d \ O F F I C E 1 1 \ M S O . D L L # M i c r o s o f t   O f f i c e   1 1 . 0   O b j e c t   L i b r a r y                           
         VA                            ]  T h i s D o c u m e n t  0 3 4 3 f d c 3 9 e  T h i s D o c u m e n t             8 C o p y 6 A d d r e s s e e I n f o T o E n v e l o p e  0 4 4 3 f d c 3 9 e 8 C o p y 6 A d d r e s s e e I n f o T o E n v e l o p e          L  , P r i n t F o r m P r i n t E n v e l o p e  0 5 4 3 f d c 3 9 e (, P r i n t F o r m P r i n t E n v e l o p e 0v      0   ,   C o p y 6 W o r k e r I n f o  0 6 4 3 f d c 3 9 e @ C o p y 6 W o r k e r I n f o       H      C o p y 6 C o u n t y I n f o  0 7 4 3 f d c 3 9 e H C o p y 6 C o u n t y I n f o 9      `   
   P r i n t F o r m O n l y  0 8 4 3 f d c 3 9 e J P r i n t F o r m O n l y       x   ,   S h o w 6 T o o l b a r  1 J 4 1 f 6 5 6 8 f L S h o w 6 T o o l b a r              `       H    0  x  _4DYb   r
C^j[   %w#@5m*   $_G!7T   1vHCF;   RdEnM	b   l0bF>v'   P       *+  *  Wordk VBA Win16~ Win32 Mac VBA6# Project1
 stdole` TemplateProjectE ThisDocument< 	   _Evaluate Officeu Module1b Copy6AddresseeInfoToEnvelopej h   MAIN, 	   WordBasic  WW7_EditGoTod    Destinationл  EditCopy. 	 EditPaste PrintFormPrintEnvelopeq 	 FilePrintI  AppendPrFile3    Range  PrToFileName)  From~  	 NumCopies    Pages  OrderA  PrintToFileo  Collate    FileNamej Copy6WorkerInfoɷ  ChDefaultDir  FileOpen  	 FileClose_ Copy6CountyInfo PrintFormOnly  Show6Toolbar  ViewToolbars|  Toolbar2    Show Documentj       A   I    K  M  )            ~                                                                                                                            C     0*	 pH  d   Template ProjectQ H  @

=
|	VA J<
 9stdole>s t  d o l eP  h %^ * \G{00020430- C 
0046}# 2.0#0#C: \WINDOWS \System32\e2.tlb #OLE Automation 0 EOfficEO f i cEE2DF 8D04C-5B FA-101B-BDE5EAAC42Egra m Files\@CommonM icrosoft  Shared\ OFFICE11 \MSO.DLL#M 11.0 Ob Library K ׈ ] ThisDocumentG Ti s Dc u m7n]*2  
HB1Bx  B,!"%B+B ACo py6Addre sseeInfo ToEnvelopeG 8@
C&p y 6 Ad r(s,eI neo T*Evle 2<L<X!B;<@P rintForm[G;,7i@2t F1r@dPFO8W2 m,o80vb8Wor(ker8G ?  6Wk@3r 6v2b:+M	Countyu/yOo)
o)9
iCOnlyGX  @EBOzl@b IA2g\<+!S how6Tool(barSo w so!b aUߣo@-ii`%                                                           K*y                                                                                                                            rU             ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~  ~X         	                    9f`ӻJ(1 	  	          e 	                      a 	               _ _ S R P _ 0                                                                                               z  `      _ _ S R P _ 1                                                                                                  P R O J E C T w m                                                                                       v      P R O J E C T                                                                                                	                                                                                                                                                               y        Q      a 	                    y              a 	     
               y              a 	                   y              a 	            (       y        !      a 	            p        y        I                             !                                            !                                 Project1     TemplateProject     ThisDocument     Module1     Copy6AddresseeInfoToEnvelope     PrintFormPrintEnvelope     Copy6WorkerInfo     Copy6CountyInfo     PrintFormOnly     Show6Toolbar             F  /   C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL     VBA
  
q         	               0               	           F  5   C:\Program Files\Microsoft Office\OFFICE11\MSWORD.OLB     Word
  
i                  	      @               0           F     C:\WINDOWS\System32\stdole2.tlb     stdole
  
y                         P               L-[  DR  ?   C:\Program Files\Common Files\Microsoft Shared\OFFICE11\MSO.DLL     Office
  
Y                  	      `                  MAIN                  6 T o o l b a r   	           F  	           F                    T o o l b a r      S h o w      V i e w T o o l b a r s                  k	           F  
 gF  	           F  n\ŊkB5a1G  
           F     Document    @              A N      D e s t i n a t i o n      W W 7 _ E d i t G o T o      E d i t C o p y      E N      E d i t P a s t e      A M      E M   
   A C S Z C      E C S Z      C N      0            1      A p p e n d P r F i l e   
   R a n g e      P r T o F i l e N a m e      F r o m      T o        T y p e      N u m C o p i e s   
   P a g e s   
   O r d e r      P r i n t T o F i l e      C o l l a t e      F i l e N a m e      F i l e P r i n t      D : \ W o r d \      C h D e f a u l t D i r      w r k r I N F O . D O T      N a m e      F i l e O p e n 	     C a s e w o r k e r N a m e      I M - 6 . d o t      C N C      w r k r i n f o . d o t      L o a d N u m b e r      F i l e C l o s e      L N C        C T Y I N F O . D O T      I A g e n c y      I A C 	     I C o u n t y M a i l i n g      I C M C   &   I C o u n t y C i t y S t a t e Z I P      I C C S Z C      I C o u n t y A r e a      I C A C      I C o u n t y P r e f i x   
   I C P r C      I C o u n t y P h o n e   
   I C P h C      4      D : \ F S f o r m s \                                       rU              ~}      
   	           	      	      	     	 	      	      	      	        	!                  p                                                ThisDocument T h i s D o c u m e n t   Copy6AddresseeInfoToEnvelope C o p y 6 A d d r e s s e e I n f o T o E n v e l o p e   PrintFormPrintEnvelope P r i n t F o r m P r i n t E n v e l o p e   Copy6WorkerInfo C o p y 6 W o r k e r I n f o   Copy6CountyInfo C o p y 6 C o u n t y I n f o   PrintFormOnly P r i n t F o r m O n l y   Show6Toolbar S h o w 6 T o o l b a r               ID="{C08069AD-A4D7-4AC0-9D8A-A03075C88228}"
Document=ThisDocument/&H00000000
Module=Copy6AddresseeInfoToEnvelope
Module=PrintFormPrintEnvelope
Module=Copy6WorkerInfo
Module=Copy6CountyInf                                                                                                                        o
Module=PrintFormOnly
Module=Show6Toolbar
Name="TemplateProject"
HelpContextID="0"
VersionCompatible32="393222000"
CMG="7E7CA62A5AD6DCDADCDADEDCDEDC"
DPB="FCFE24A8DC27DD27DD27"
GC="7A78A22E212F212FDE"

[Host Extender Info]
&H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000

[Workspace]
ThisDocument=0, 0, 0, 0, C
Copy6AddresseeInfoToEnvelope=22, 22, 395, 469, C
PrintFormPrintEnvelope=110, 110, 483, 557, C
Copy6WorkerInfo=66, 66, 439, 513, C
Copy6CountyInfo=44, 44, 417, 491, C
PrintFormOnly=88, 88, 461, 535, C
Show6Toolbar=132, 132, 505, 579, C
                                                                              Oh +'0                                                    0  	   @     L  
   l     x                                           IM-6       ,   Authorization for Release of Information          FAMIS                   rev 7-89 Word 2003        IM-6.DOT          dennqur       18     1 T a b l e                                                                                                    J       S u m m a r y I n f o r m a t i o n                           (    "                                                D o c u m e n t S u m m a r y I n f o r m a t i o n           8                                       @       C o m p O b j                                                                                         q          Microsoft Office Word   @     K   @    ,q@    
^a ѽ@    ^b               v                                                    ՜. +,0           h      p                                                                       (   Missouri Department of Social Services     	            <                                          IM-6            Title         
  	           F   Microsoft Office Word Document 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               H  @ H           N o r m a l      5$ 7$ 8$ 9D H$  _HmH	sH	tH	                  D A  D          D e f a u l t   P a r a g r a p h   F o n t     V i@ V          T a b l e   N o r m a l     :V   4   4 
l a      ( k  (           N o   L i s t         ` $@  `           E n v e l o p e   A d d r e s s   !  @&+D/ ^@  CJ       >    @     *@           z          Y9           >                        )   A   j   k   l   q                      P  Q  R  S  i  }  ~                                                 .  /  0  3  =  Q  ]  q  r  u  v           *  +  L  M  a  u        2  3  E  J  K  `  e  f  z                    (  @       D    .&  j    .&  j    .&  s    .&  v:             d  v:      GV     v:     	  GV     	  v:    +  GV    +  v:      GV     v:        k    d  v:    V  GV    #  GV    #  v:    2   GV         k    d  v:    V  GV    #  v:    2   GV         k    d  v:    V  GV    #  v:    2            k    d  v:      GV      s      GV         K    d  v:      GV      v:      GV         k    d  v:      GV      v:      GV         k    d  v:      GV      v:      GV      v:         K    *  GV         .    *  v:    *  v:    *  v:    *      *               *  R    *  R    *  s    *  s    *  s    *  s             *  s             Z  R      R             Z  R      R             Z  R      R             *  R    *                 GV      R                                   )   A   j   k   l   q                      P  Q  R  S  i  }  ~                                                 .  /  0  3  =  Q  ]  q  r  u  v           *  +  L  M  a  u        2  3  E  J  K  `  e  f  z                      (  =  @      0                      0                      0                      0                      0                      0                      0                      0                      0                     0                      0                      0                      0                      0                      0                     0                      0                      0                      0                      0                     0                      0                      0                      0                      0                     0                      0                      0                      0                      0                     0                      0                      0                      0                      0                     0                      0                      0                      0                      0                     0                      0                      0                      0                      0                     0                      0                      0                      0                      0                     0                      0                      0                      0                      0                      0                      0                      0                      0                      0                     0                      0                      0                      0                      0                      0                     0                     0                      0                      0                      0                      0                      0                      0                      0                      0                      0                      0                      0                      0                      0                     0                      0                      0                      0                      0                      0                      0                     0                       0                       	  
  X    ,  b.  /  |0     
                        (
  
  ,  \      ^    T,  d.  .  x/  |0                                            |0  	                                                           6  A  C  N  i  u  {                            &  ,  =  I  O  ]  i  o          "  (  M  Y  _  a  m  s  u                             &  )  5  ;  >  FFFFFFFFFFFFFFFFFFFFFFFFF  8                         @                          $   (    	                    
          \   B
      
  S    jJ           ?    "                       \   B
     @
  S    jJ           ?    "                        \   B
      
  S    Ԕ           ?    "                       \   B
      
  S    Ԕ           ?    "                       \   B
      
  S    Ԕ           ?    "                       B    
        S              	   ?          r  s  3  K  m  >    )  g*  t       )   t          U  E  V  t          U  E  V  t          U  E  V  t         C N C  I C A C  I C P r C  I C P h C  T e x t 2 0  L N C  T e x t 2  I A C  I C M C  I C C S Z C  A N  A M  A C S Z C  C N  T e x t 1 4  T e x t 1 5  T e x t 1 7  T e x t 1 8  T e x t 1 9  E N  E M  E C S Z                     i            =  ]    N  b         *  @                              	   
                                                     O  |          -  P  p    `  t      '  <  @      @       @                                            O  i  |                    -  =  P  ]  p        )  M  `  a  t  u                              '  )  <  =  @                                                                @                      % l- I. ^         k   l   q           P  Q  R  S  }  ~                                           .  /  0  3  Q  q  r  u  v  *  +      2  3  E  J  K  `  e  f  z                @                                                                                                                  S i g n       w  ,   u
                    0s	*Hd0`10*H 0R
+7D0B0
+7շ@{KG쏱+0 0*H ؔmM\1}Hs00W MkBَ/Z0	*H 01.0,	*H	CertificateAuthority@dss.mo.gov10	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1705U.Missouri Department of Social Services Root CA0031009184123Z231009185034Z01.0,	*H	CertificateAuthority@dss.mo.gov10	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1705U.Missouri Department of Social Services Root CA0"0	*H  0
 VQ+p8"
b>iEDis&?[%Ɯ%?;y)Lve:E{םmZAJ/v(lǉFU B%w"~=RXqq:_rڃ;rBTC8ܹbaIM_)QpR NfU@hB{>9"NV`!!apw~샔ƼTFR՚X(2Ě~Nw,0#)Ibj<}
:?Cf">G@%ZYܸE%Hqu^XsI$4SF^ tvZ	wڮGc~Z3Jb=i-+987odqE*(,'Fu޳/m}I<R}QL.8;s>Ғފ$Vqo:+סS4uL]yY]ms'7f{1!) 00	+7 C A0UF0U00UtAQrblkH.8tOM]0IUB0@0><:8http://www.dss.mo.gov/CertificateAuthority/DSSRootCA.crl0	+7 0	*H  |b_ˮZԤi#NNP&T؏0Xs鹋2Z Nm0WMI3A <N9ks+ۃ6~uV8Ka@p4Gz}45H94JDN[_5.c:C/tpcpL^ޜV,UsrNn ;"q̜C4ϑ,̸
 鋜xTD=M[_߼<g+A%r΂HMңvHp=~0-)bR7qt
ߢ	4M#}~;H=SϬ[)]Zjڅ,Hg5@bI1%%.'<$lp&z&iڦ?j=muZC`(B~
ٲvD$0VSbeaB*B(C8e"$#)]hYTAno|$F=*y|7%:f=jq7NL00
>$      0	*H 01.0,	*H	CertificateAuthority@dss.mo.gov10	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1705U.Missouri Department of Social Services Root CA0050404160655Z150404161655Z010	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1 0UFamily Support Division00	*H  0 ïUFs|zML&Zh;f.!/ɃDE$MױbNpcA0KǝsLl!ӐcO0tSyfz(9%B)prq
 D0@0U0U%0
+0U$et{fYB(İK20$U#0tAQrblkH.8tOM]줁01.0,	*H	CertificateAuthority@dss.mo.gov10	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1705U.Missouri Department of Social Services Root CAW MkBَ/Z0`UW0S0码䠁ᆁldap:///CN=Missouri%20Department%20of%20Social%20Services%20Root%20CA,CN=dssca1,CN=CDP,CN=Public%20Key%20Services,CN=Services,CN=Configuration,DC=modss,DC=net?certificateRevocationList?base?objectclass=cRLDistributionPoint0gecahttp://dssca1.modss.net/CertEnroll/Missouri%20Department%20of%20Social%20Services%20Root%20CA.crl0l+^0Z0+0ldap:///CN=Missouri%20Department%20of%20Social%20Services%20Root%20CA,CN=AIA,CN=Public%20Key%20Services,CN=Services,CN=Configuration,DC=modss,DC=net?cACertificate?base?objectclass=certificationAuthority0~+0rhttp://dssca1.modss.net/CertEnroll/dssca1.modss.net_Missouri%20Department%20of%20Social%20Services%20Root%20CA.crt0	*H  t-GS)8&#
P{㙴KO!~D}iE>Rق>v9i*̫hwl5VO!嘦E:50it#e  1lh[y%/lpr<6VVŵ`?śXlB:6Щ|9WT܇Zn"jp6xAhik)G;)h@{AW+Ld_7詢سΠ#P)k1ɾ+XOmڑ%H	xYggHM^}:lopƟzoJz2\}^=[uĂij~PY=qşr̒'/9h8zX`gcMx)(az8!T=5vz^,9y>'4H!&pquFw "et̸C'10001.0,	*H	CertificateAuthority@dss.mo.gov10	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1705U.Missouri Department of Social Services Root CA
>$      0*H p0
+710 0	*H	1
+70
+710
+70	*H	1tjH\DQY0	*H }(eߘMcf#ɱNɻ(5OIeC?4|5+-iwrϩH0eȕRwaW-Gݐ&m8+p?DƏ]W	~<x
)Ś@    CERT         gGf) I5|.,         `!]`0`^         $et{fYB(İK2            l                     { D 9 6 4 A 1 4 7 - 5 D A 4 - 4 3 E 6 - 9 A 7 7 - 7 E 8 9 B 9 D 9 F 9 2 6 }     M i c r o s o f t   B a s e   C r y p t o g r a p h i c   P r o v i d e r   v 1 . 0              eHuX`.~d         HB*|dZ7i6         E%-79ѫ         00
>$      0	*H 01.0,	*H	CertificateAuthority@dss.mo.gov10	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1705U.Missouri Department of Social Services Root CA0050404160655Z150404161655Z010	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1 0UFamily Support Division00	*H  0 ïUFs|zML&Zh;f.!/ɃDE$MױbNpcA0KǝsLl!ӐcO0tSyfz(9%B)prq
 D0@0U0U%0
+0U$et{fYB(İK20$U#0tAQrblkH.8tOM]줁01.0,	*H	CertificateAuthority@dss.mo.gov10	UUS10UMissouri10UJefferson City10U
State of Missouri1&0$UDepartment of Social Services1705U.Missouri Department of Social Services Root CAW MkBَ/Z0`UW0S0码䠁ᆁldap:///CN=Missouri%20Department%20of%20Social%20Services%20Root%20CA,CN=dssca1,CN=CDP,CN=Public%20Key%20Services,CN=Services,CN=Configuration,DC=modss,DC=net?certificateRevocationList?base?objectclass=cRLDistributionPoint0gecahttp://dssca1.modss.net/CertEnroll/Missouri%20Department%20of%20Social%20Services%20Root%20CA.crl0l+^0Z0+0ldap:///CN=Missouri%20Department%20of%20Social%20Services%20Root%20CA,CN=AIA,CN=Public%20Key%20Services,CN=Services,CN=Configuration,DC=modss,DC=net?cACertificate?base?objectclass=certificationAuthority0~+0rhttp://dssca1.modss.net/CertEnroll/dssca1.modss.net_Missouri%20Department%20of%20Social%20Services%20Root%20CA.crt0	*H  t-GS)8&#
P{㙴KO!~D}iE>Rق>v9i*̫hwl5VO!嘦E:50it#e  1lh[y%/lpr<6VVŵ`?śXlB:6Щ|9WT܇Zn"jp6xAhik)G;)h@{AW+Ld_7詢سΠ#P)k1ɾ+XOmڑ%H	xYggHM^}:lopƟzoJz2\}^=[uĂij~PY=qşr̒'/9h8zX`gcMx)(az8!T=5vz^,9y>'4H!&pquFw "et̸C'                   V    [@         [@  V   [@         [@  V  
 [@         [@  V  	 [@         [@  V   [@         [@  V   [@         [@                    6 T o o l b a r              6 T o o l b a r    o o  2 L  o o  2 L  o o  2 L  o o  2 L  o o      0        A d d C o u n t y I n f o  C o p y 6   C o u n t y   I n f o       C o p y 6 C o u n t y I n f o . M A I N       A d d W o r k e r I n f o  C o p y 6   W o r k e r   I n f o       C o p y 6 W o r k e r I n f o . M A I N       C o p y A d d r e s s e e T o E n v e l o p e   C o p y 6   A d d r e s s e e   I n f o   t o   E n v e l o p e       !C o p y 6 A d d r e s s e e I n f o T o E n v e l o p e . M A I N       P r i n t F o r m O n l y  P r i n t   F o r m   O n l y       P r i n t F o r m O n l y . M A I N       P r i n t F o r m A n d E n v e l o p e  P r i n t   F o r m   P r i n t   E n v e l o p e       P r i n t F o r m P r i n t E n v e l o p e . M A I N                                1 T e m p l a t e P r o j e c t . C o p y 6 A d d r e s s e e I n f o T o E n v e l o p e . M A I N  + T e m p l a t e P r o j e c t . P r i n t F o r m P r i n t E n v e l o p e . M A I N  $ T e m p l a t e P r o j e c t . C o p y 6 W o r k e r I n f o . M A I N  $ T e m p l a t e P r o j e c t . C o p y 6 C o u n t y I n f o . M A I N  " T e m p l a t e P r o j e c t . P r i n t F o r m O n l y . M A I N  ! T e m p l a t e P r o j e c t . S h o w 6 T o o l b a r . M A I N     ! T E M P L A T E P R O J E C T . S H O W 6 T O O L B A R . M A I N    " T E M P L A T E P R O J E C T . P R I N T F O R M O N L Y . M A I N    $ T E M P L A T E P R O J E C T . C O P Y 6 C O U N T Y I N F O . M A I N    $ T E M P L A T E P R O J E C T . C O P Y 6 W O R K E R I N F O . M A I N    + T E M P L A T E P R O J E C T . P R I N T F O R M P R I N T E N V E L O P E . M A I N    1 T E M P L A T E P R O J E C T . C O P Y 6 A D D R E S S E E I N F O T O E N V E L O P E . M A I N   @        -d               4                >  @      @  
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