ࡱ> loghijko bjbj ڗzfڗzfFc 4h& 2!0K&|>>>>?vPB\CSIUIUIUIUIUIUI$MOyIq\D??\D\DyI>>HJEEE\DR>>SIE\DSIEEF/G>̶HDRF?IK00KG,QEQ/GQ/G\D\DE\D\D\D\D\DyIyIE\D\D\D0K\D\D\D\DQ\D\D\D\D\D\D\D\D\D X P: Foster Care/Juvenile Justice Action SummaryMichigan Department of Health and Human ServicesCase nameCase ID FORMTEXT       FORMTEXT      Child nameChild person ID FORMTEXT       FORMTEXT      Worker nameOrganizationPhone number FORMTEXT       FORMTEXT       FORMTEXT      EmailDate completed FORMTEXT       FORMTEXT      Type of action (check as many as apply)Effective date FORMCHECKBOX  Child fatality notification (complete section 1) FORMTEXT       FORMCHECKBOX  Caseworker/organization change (complete section 2) FORMTEXT       FORMCHECKBOX  Parent contact information change (complete section 3) FORMTEXT       FORMCHECKBOX  Foster care transfer to adoption (complete section 4) FORMTEXT       FORMCHECKBOX  Placement change (complete section 5) FORMTEXT       FORMCHECKBOX  Temporary break (complete section 6) FORMTEXT       FORMCHECKBOX  Foster care program closure (complete section 7) FORMTEXT       FORMCHECKBOX  Juvenile justice program closure (complete section 7) FORMTEXT      1. Child Fatality NotificationThis serves as a preliminary notice that the child listed above died on FORMTEXT      .Additional information may be requested from the  FORMTEXT      County MDHHSOffice at FORMTEXT    - FORMTEXT    - FORMTEXT     .Date of incidentTimeDate notified of incident FORMTEXT       FORMTEXT       FORMTEXT      Immediate notification was given to (enter N/A if not applicable):Date FORMCHECKBOX  Centralized Intake on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Local MDHHS on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Legal parent/guardian 1 on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Legal parent/guardian 2 on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  MCI superintendent on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Division of Child Welfare Licensing on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Court of jurisdiction on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email2. Caseworker Change/Organization ChangeFormer caseworker s nameTelephone number FORMTEXT       FORMTEXT      OrganizationEmail FORMTEXT       FORMTEXT       New caseworker s nameTelephone number FORMTEXT       FORMTEXT      OrganizationEmail FORMTEXT       FORMTEXT      3. Parent Contact Information ChangeParent name FORMTEXT      Former addressCityStateZIP code FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Former telephoneFormer email FORMTEXT       FORMTEXT      New addressCityStateZIP code FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      New telephoneNew email FORMTEXT       FORMTEXT      4. Transfer to AdoptionPreparation appropriate to the child s capacity to understand has been conducted in the following way:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Information related to transfer from foster care to adoption was shared with MDHHS/referring worker on FORMTEXT      by: FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX Letter FORMCHECKBOX  EmailSummarize services currently being provided:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  List services and needs still to be met and provisions for follow-up services, if any:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  5. Placement ChangeFormer placement name FORMTEXT      Former placement addressCityStateZIP code FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Former placement telephone FORMTEXT      New placement name FORMTEXT      New placement addressCityStateZIP code FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      New placement telephone FORMTEXT      This is the child s FORMTEXT      placement since entering foster care.Describe efforts taken to maintain the childs placement and prevent the placement change:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Was consideration given to returning the child to a parent? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf the child is not returning to a parent, document the reason(s) why return to a parent would cause a substantial risk of harm to the childs life, physical health, or mental well-being:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Is the child being placed with a relative or sibling? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf no, document the efforts made to place with a relative or sibling and the reason why placement with a relative or sibling is not possible at this time:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Does the change in placement FORMCHECKBOX  separate or  FORMCHECKBOX  reunite siblings? FORMCHECKBOX  N/A: No siblings FORMCHECKBOX  N/A: All siblings changing placement togetherIf any siblings are separated, describe the plan for sibling visitation:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  The child is being moved for the following reason(s) (select all that apply): FORMCHECKBOX  The foster parent/caregiver has requested the child to be moved. FORMCHECKBOX  The court has ordered the child to be returned home. FORMCHECKBOX  The change in placement is less than 30 calendar days from the childs initial removal from his or her home. FORMCHECKBOX  The change in placement is less than 90 calendar days after the initial placement and the new placement is with a relative. FORMCHECKBOX  The supervising agency has reasonable cause to believe that the child has suffered sexual abuse or non-accidental physical injury, or there is substantial risk of harm to the childs emotional well-being or physical safety within the caregivers home. FORMCHECKBOX  The supervising agency believes it is in the childs best interest to be moved.Briefly describe the circumstances that lead to the placement change:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Placement selection criteria: rank each of the following from 1-4, with 1 being most important to the placement decision, 3 being the least important, and 4 being not applicable. FORMTEXT  The case plan which includes the goal of permanence. FORMTEXT  The physical, emotional, and safety needs of the child. FORMTEXT  Proximity to the child s family. FORMTEXT  Placement within the relative family network. FORMTEXT  Placement with siblings. FORMTEXT  The least-restrictive, most family-like setting. FORMTEXT  The continuity of relationships. FORMTEXT  The child s and child s family s religious preference. FORMTEXT  The child s expressed preferences for placement. FORMTEXT  Appropriateness of the child s current educational setting and proximity to the school the child was enrolled in at the time of removal. FORMTEXT  Availability of placement resources for the purpose of timely placement.If any placement selection criteria were not met, explain why.  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Does the change in placement require the child to change schools? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, describe the efforts to maintain the child in his/her school of origin:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Describe how the child, parent(s), previous placement, and new placement were prepared for the placement change. Explanation must be appropriate to the respective parties capacity to understand the need for the placement change.  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Notification of the placement change was provided to (enter N/A if not applicable):Date FORMCHECKBOX  Legal parent/guardian 1 on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-69 FORMCHECKBOX  Legal parent/guardian 2 on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-69 FORMCHECKBOX  *MDHHS/referring worker on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-69 FORMCHECKBOX  MCI superintendent on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-69 FORMCHECKBOX  *Lawyer-guardian ad litem on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-69 FORMCHECKBOX  *Child s attorney on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-69 FORMCHECKBOX  *Court of jurisdiction on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-69 FORMCHECKBOX  Previous placement on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-30 FORMCHECKBOX  New placement on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Email FORMCHECKBOX  DHS-3307Dates in this section should reflect date on which notification was provided using methods other than the DHS-69. Parties marked with an asterisk (*) MUST receive notification of the placement change via the DHS-69, even if notice was also provided in person, by telephone, or by email. See last page for distribution list and date(s).6. 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FORMCHECKBOX  Yes FORMCHECKBOX  NoIf no, why is the child unable to return to the previous placement, and what is the plan for placement after the temporary break?  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Is there an estimated length of time for the temporary break? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf yes, indicate the estimated length of the temporary break. If no, explain why no estimate is available.  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  7. Foster Care/Juvenile Justice Case Program ClosureIndicate program type that is closing (check as many as apply): FORMCHECKBOX  Foster care FORMCHECKBOX  Juvenile justiceReason(s) for case/program closure (check as many as apply): FORMCHECKBOX  Age (emancipation/aged out) FORMCHECKBOX  Placed with guardian (foster care only) FORMCHECKBOX  AWOLP FORMCHECKBOX  Placed with parent (foster care only) FORMCHECKBOX  Married (foster care only) FORMCHECKBOX  Escalated to adult system (juvenile justice only) FORMCHECKBOX  Military service (foster care only) FORMCHECKBOX  Termination of court jurisdiction FORMCHECKBOX  Moved to another state FORMCHECKBOX  Jurisdiction terminated/unsuccessful treatment (juvenile justice only) FORMCHECKBOX  OTI activity completed FORMCHECKBOX  Placed for adoption (foster care only) FORMCHECKBOX  Other (specify): FORMTEXT      Information related to the care and supervision of the child or foster care/juvenile justice case/program closure was shared with:Date FORMCHECKBOX  Legal parent 1 on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Legal parent 2 on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Legal guardian on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Provider on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  MDHHS/referring worker on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Youth age 18+ or emancipated on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Court Appointed Special Advocate (CASA) on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Lawyer-guardian ad litem on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  Email FORMCHECKBOX  Child s attorney on: FORMTEXT      via FORMCHECKBOX  In person FORMCHECKBOX  Telephone FORMCHECKBOX  Letter FORMCHECKBOX  EmailInformation given to the birth parent, guardian, youth age 18 or older, or youth leaving care due to legal emancipation at case/program closure: FORMCHECKBOX  Birth certificate FORMCHECKBOX  Social security card FORMCHECKBOX  DHS-221, Medical Passport FORMCHECKBOX  Education records FORMCHECKBOX  DHS-945, Financial Aid Verification of Court/State Ward Status (youth 13 and older) FORMCHECKBOX  MDHHS-5748, Verification of Placement in Foster Care (youth who were in care at least six months after their 14th birthday) FORMCHECKBOX  Driver s license/state identification (youth 18 and older or emancipated) FORMCHECKBOX  YAVFC fact sheet (youth 18 and older or emancipated) FORMCHECKBOX  DHS-Pub-161, Durable Power of Attorney for Health Care (youth 18 and older or emancipated) FORMCHECKBOX  DHS-Pub-858, Important Information for Youth Transitioning out of Foster Care (youth 18 and older or emancipated) FORMCHECKBOX  Foster Care Transitional Medicaid information (youth 18 and older or emancipated) FORMCHECKBOX  MiHealth card (youth 18 and older or emancipated) FORMCHECKBOX  Medicaid health plan member ID card (youth 18 and older or emancipated who are enrolled in a health plan)Report period FORMTEXT      to FORMTEXT      Summarize services that were provided during care:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Summarize services currently being provided:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  List services and needs still to be met and provisions for follow-up services, if any:  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Was medical information given to parents or next placement? FORMCHECKBOX  Yes FORMCHECKBOX  NoDate: FORMTEXT      Was education information given to parents or next placement? FORMCHECKBOX  Yes FORMCHECKBOX  NoDate: FORMTEXT      Was closure explained to all parties? FORMCHECKBOX  Yes FORMCHECKBOX  NoIf closure was unplanned, summarize the reasons and circumstances surrounding the closure, including significant events for the child and parents, if applicable, since the last case service plan.  MACROBUTTON AcceptAllChangesInDoc "Click Here and Type"  Worker signatureDateSupervisor signatureDate FORMTEXT       FORMTEXT      Youth Signature (age 18 and older or legally emancipated)Date FORMTEXT      Distribution List for Placement ChangeComplete the distribution list below for all placement changes after the DHS-69 has been approved and signed by the supervisor. The parties below must receive the DHS-69. Indicate N/A if not applicable.Date FORMCHECKBOX  *MDHHS/referring worker on: FORMTEXT      via FORMCHECKBOX  Email FORMCHECKBOX  Mail FORMCHECKBOX  Fax FORMCHECKBOX  Hand delivery FORMCHECKBOX  *Lawyer-guardian ad litem on: FORMTEXT      via FORMCHECKBOX  Email FORMCHECKBOX  Mail FORMCHECKBOX  Fax FORMCHECKBOX  Hand delivery FORMCHECKBOX  *Child s attorney on: FORMTEXT      via FORMCHECKBOX  Email FORMCHECKBOX  Mail FORMCHECKBOX  Fax FORMCHECKBOX  Hand delivery FORMCHECKBOX  *Court of jurisdiction on: FORMTEXT      via FORMCHECKBOX  Email FORMCHECKBOX  Mail FORMCHECKBOX  Fax FORMCHECKBOX  Hand deliveryThe Michigan Department of Health and Human Services (MDHHS) does not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, genetic information, sex, sexual orientation, gender identity or expression, political beliefs or disability.Authority: 1939 PA 280Response: VoluntaryPenalty: None     DHS-69 (Rev. 10-19) Previous edition obsolete.  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0&P:p/ =!"#$% 8 00&P:p/ =!"#$% 5 0&P:p/ =!"#$% N$$Ifl!vh#vm,:V l  t5m,p ytbN$$Ifl!vh#vm,:V l  t5m,p ytbz$$Ifl!vh#v5#v8:V l t,5558/  pytbtD&Text6tD&Text6z$$Ifl!vh#v5#v8:V l t,5558/ pytbz$$Ifl!vh#v5#v8:V l t,5558/  pytbtD&Text6tD&Text6z$$Ifl!vh#v5#v8:V l t,5558/ pytb$$Ifl!vh#v#v#v :V l t,555 /  pytbjDjDjD$$Ifl!vh#v#v#v :V l t,555 / pytbz$$Ifl!vh#vO!#v :V l t,5O!5 /  pytbjD:jDz$$Ifl!vh#vO!#v :V l t,5O!5 / pytbt$$Ifl!vh#vO!#v :V l t5O!5 /  pytbtDeCheck1jDz$$Ifl!vh#vO!#v :V l t,5O!5 /  pytbtDeCheck1jDz$$Ifl!vh#vO!#v :V l t,5O!5 /  pytbtDeCheck1jDz$$Ifl!vh#vO!#v :V l t,5O!5 /  pytbtDeCheck1jDz$$Ifl!vh#vO!#v :V l t,5O!5 /  pytbvDeCheck18jDz$$Ifl!vh#vO!#v :V l t,5O!5 /  pytbvDeCheck19jDz$$Ifl!vh#vO!#v :V l t,5O!5 /  pytbtDeCheck1jDz$$Ifl!vh#vO!#v :V l t,5O!5 /  pytbtDeCheck1jDz$$Ifl!vh#vO!#v :V l t,5O!5 / pytb\$$Ifl!vh#vm,:V l  t5m,/ p ytbtDText4$$Ifl!vh#vX#v&#v:V l t,,5X5&5/ / / / /  pytbjD$$Ifl!vh#vH#v#v:V l t,5H55/ / / pytbtDText1tDText2tDText3$$Ifl!vh#vt#v#vC#v :V l t,,,5t55C5 / / / p(ytb$$Ifl!vh#v #v #v #v :V l t5 5 5 5 / /  / p(ytb~$$Ifl!vh#v#v:V l t55/  pytbvDText11vDText11vDText11~$$Ifl!vh#v#v:V l t55/ pytb\$$Ifl!vh#vm,:V l  t5m,/  p ytb$$Ifl!vh#v #v #v8:V l t5 5 58/ / pytbvDeCheck11tD Text5tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #v#v #vf#v#v\#v:V l  t5 55 5f55\5/ / / pFytbtDeCheck2tD Text5tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #v#v #vf#v#v\#v:V l  t5 55 5f55\5/ / / pFytbtDeCheck3tD Text5tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #v#v #vf#v#v\#v:V l  t5 55 5f55\5/ / / pFytbtDeCheck3tD Text5tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #v#v #vf#v#v\#v:V l  t5 55 5f55\5/ / / pFytbtDeCheck4tD Text5tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #v#v #vf#v#v\#v:V l  t5 55 5f55\5/ / / pFytbtDeCheck5tD Text5tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #v#v #vf#v#v\#v:V l4  t+5 55 5f55\5/ / / pFytb$$Ifl!vh#v #v#v #vf#v#v\#v:V l4 t+5 55 5f55\5/ / / pFytbvDeCheck12tD Text5tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #v#v #vf#v#v\#v:V l  t5 55 5f55\5/ / / pFytb$$$Ifl!vh#v #v#v #vf#v#v\#v:V l t5 55 5f55\5/ / / /  / pFytb\$$Ifl!vh#vm,:V l  t5m,/ p ytbz$$Ifl!vh#v5#v8:V l t,5558/  pytbtD&Text6tD&Text6z$$Ifl!vh#v5#v8:V l t,5558/ pytbz$$Ifl!vh#v5#v8:V l t,5558/  pytbtD&Text6tD&Text6z$$Ifl!vh#v5#v8:V l t,5558/ pytb$$Ifl!vh#v5#v8:V l tm,,5558/  apytbtD&Text6tD&Text6$$Ifl!vh#v5#v8:V l tm,,5558/ apytb$$Ifl!vh#v5#v8:V l tm,,5558/  apytbtD&Text6tD&Text6$$Ifl!vh#v5#v8:V l tm,,5558/ apytba$$Ifl!vh#vd,:V l  tm,5d,/ ap ytba$$Ifl!vh#vd,:V l tm,5d,/  ap ytbtDMText7g$$Ifl!vh#vd,:V l tm,,5d,/ ap ytb$$Ifl!vh#v5#v #v#va:V l tm,555 55a/  ap(ytbtD&Text8jDjDjD $$Ifl!vh#v5#v #v#va:V l tm,,555 55a/ ap(ytby$$Ifl!vh#v5#v/:V l tm,555//  apytbtD&Text8tD&Text8$$Ifl!vh#v5#v/:V l tm,,555// apytb$$Ifl!vh#v5#v #v#va:V l tm,555 55a/  ap(ytbtD&Text8jDjDjD $$Ifl!vh#v5#v #v#va:V l tm,555 55a/ ap(ytb$$Ifl!vh#v5#v/:V l tm,,555//  apytbtD&Text8tD&Text8$$Ifl!vh#v5#v/:V l tm,,555// apytba$$Ifl!vh#vd,:V l  tm,5d,/ ap ytba$$Ifl!vh#vd,:V l tm,5d,/  ap ytb$$Ifl!vh#vu,:V l t0u,5u,ap ytba$$Ifl!vh#vd,:V l  td,5d,/  ap ytbvDText12tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v` #v#v=#v#v :V l  td,5` 55=55 / / /  / ap<ytba$$Ifl!vh#vd,:V l td,5d,/  ap ytba$$Ifl!vh#vd,:V l td,5d,/ ap ytba$$Ifl!vh#vd,:V l td,5d,/  ap ytba$$Ifl!vh#vd,:V l td,5d,/ ap ytb\$$Ifl!vh#vd,:V l  td,5d,/ p ytb\$$Ifl!vh#vd,:V l td,5d,/  p ytbtDMText7b$$Ifl!vh#vd,:V l td,,5d,/ p ytb$$Ifl!vh#v3#v #v#vc:V l td,535 55c/  p(ytbtD&Text8jDjDjD $$Ifl!vh#v3#v #v#vc:V l td,,535 55c/ p(ytb$$Ifl!vh#v3#v1:V l td,5351/ / /  / pytbtD&Text8$$Ifl!vh#v3#v1:V l td,,5351/ / / /  pytb\$$Ifl!vh#vd,:V l td,5d,/  p ytbtDMText7b$$Ifl!vh#vd,:V l td,,5d,/ p ytb$$Ifl!vh#v3#v #v#vc:V l td,535 55c/  p(ytbtD&Text8jDjDjD $$Ifl!vh#v3#v #v#vc:V l td,535 55c/ p(ytb$$Ifl!vh#v3#v1:V l td,,5351/ / /  / pytbtD&Text8$$Ifl!vh#v3#v1:V l td,,5351/ / / /  pytbjD$$Ifl!vh#v#v#vq :V l td,,,555q / / / / /  pytb\$$Ifl!vh#vd,:V l td,5d,/  p ytba$$Ifl!vh#vd,:V l td,5d,/ ap ytbvDeCheck15vDeCheck15$$Ifl!vh#v/#v#vu :V l td,,5/55u / /  / / apytba$$Ifl!vh#vd,:V l  td,5d,/  ap ytba$$Ifl!vh#vd,:V lX td,5d,/ ap ytbvDeCheck15vDeCheck15$$Ifl!vh#v/#v#v :V l t|,,5/55 / /  / apytba$$Ifl!vh#v|,:V l  t|,5|,/  ap ytba$$Ifl!vh#v|,:V lX t|,5|,/ ap ytbvDeCheck15vDeCheck15$$Ifl!vh#v#v#v:V l t|,,555/ /  / apytbvDeCheck20vDeCheck21$$Ifl!vh#v#vx:V l t|,,55x/ / /  apytba$$Ifl!vh#v|,:V l  t|,5|,/  ap ytba$$Ifx!vh#vp,:V lX tp,5p,/ ap ytba$$Ifx!vh#vp,:V l  tp,5p,/  ap ytbvDeCheck22g$$Ifx!vh#vp,:V l  tp,,5p,/  ap ytbvDeCheck22g$$Ifx!vh#vp,:V l  tp,,5p,/  ap ytbvDeCheck22g$$Ifx!vh#vp,:V l  tp,,5p,/  ap ytbvDeCheck23g$$Ifx!vh#vp,:V l  tp,,5p,/  ap ytbvDeCheck24g$$Ifx!vh#vp,:V l  tp,,5p,/  ap ytbvDeCheck22g$$Ifx!vh#vp,:V l  tp,,5p,/  ap ytba$$Ifx!vh#vp,:V l  tp,5p,/  ap ytba$$Ifl!vh#v|,:V lX t|,5|,/ ap ytbj$$Ift!vh#vt,:V l  tt,5p,/ /  p ytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55l*/ / / pytbvDText14$$Ift!vh#v#vp*:V l  tt,,55p*/ / / / pytb\$$Ift!vh#vt,:V l  tt,5t,/  p ytba$$Ifl!vh#v|,:V l t|,5|,/ ap ytbvDeCheck15vDeCheck15$$Ifl!vh#v#v#v :V l t|,,555 / /  / apytba$$Ifl!vh#v|,:V l  t|,5|,/  ap ytba$$Ifl!vh#v|,:V l t|,5|,/ ap ytba$$Ifl!vh#v|,:V l  t|,5|,/  ap ytba$$Ifl!vh#v|,:V l t|,5|,/ ap ytba$$Ifr!vh#vk,:V l  t|,5k,/  ap ytb$$Ifr!vh#v #v|#v:V l t|,5 5|5/ / apytbvDeCheck11vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbvDeCheck11vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbvDeCheck25vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbvDeCheck25vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbvDeCheck25vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbvDeCheck25vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbvDeCheck25vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbvDeCheck25vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbvDeCheck25vD Text15tDeCheck6tDeCheck8tDeCheck9vDeCheck10 $$Ifr!vh#v #v|#v#v#v#v#v:V l  t|,5 5|55555/ / / apFytbo$$Ifr!vh#vk,:V l  t|,5k,/  / ap ytba$$Ifl!vh#v|,:V l  t|,5|,/ ap ytbvDeCheck26vDeCheck27vDeCheck29vDeCheck28 $$Ifl!vh#v #v#vW#v#v:V l t|,,5 55W55/ / /  / / / ap2ytbvDeCheck15vDeCheck15$$Ifl!vh#v#v#v :V l t|,,555 / /  / apytba$$Ifl!vh#v|,:V l  t|,5|,/  ap ytba$$Ifl!vh#v|,:V l t|,5|,/ ap ytbvDeCheck15vDeCheck15$$Ifl!vh#v#v#v :V l t|,,555 / /  / apytba$$Ifl!vh#v|,:V l  t|,5|,/  ap ytba$$Ifl!vh#v|,:V l t|,5|,/ ap ytb\$$Ifl!vh#v|,:V l  t|,5|,/ p ytb\$$Ifl!vh#v|,:V l t|,5|,/  p ytbvDeCheck13vDeCheck13$$Ifl!vh#vp#v :V l t|,5p5 / / /  pytb\$$Ifl!vh#v|,:V l  t|,5|,/  p ytbvDeCheck13vDeCheck13$$Ifl!vh#vp#v :V l t|,5p5 / / pytbvDeCheck13vDeCheck13$$Ifl!vh#vp#v :V l t|,5p5 / / pytbvDeCheck13vDeCheck13$$Ifl!vh#vp#v :V l t|,5p5 / / pytbvDeCheck13vDeCheck13$$Ifl!vh#vp#v :V l t|,5p5 / / pytbvDeCheck13vDeCheck13$$Ifl!vh#vp#v :V l4 t|,+5p5 / / pytbvDeCheck13$$Ifl!vh#vp#v :V l4 t|,+5p5 / / pytbvDeCheck13vDeCheck13vDText10$$Ifl!vh#vp#v#v:V l t|,5p55/ / pytb\$$Ifl!vh#v|,:V l  t|,5|,/  p ytb$$Ifl!vh#v #vV#vH:V l t|,5 5V5H/ / pytbvDeCheck11jD tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #vC#v#vf#v#v\#v:V l  t|,,5 5C55f55\5/ / / pFytbvDeCheck11jD tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #vC#v#vf#v#v\#v:V l  t|,,5 5C55f55\5/ / / pFytbvDeCheck11jD tDeCheck6tDeCheck8tDeCheck9vDeCheck10$$Ifl!vh#v #vC#v#vf#v#v\#v:V l  t|,,5 5C55f55\5/ / / 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