ࡱ> $' !"#~'` ~Dbjbj{P{P *::VFBLBLBL84hzL2TTTTUDX, [1u-;^^^^^^$hU]UU]]TT?xgxgxg]TT1uxg]1uxgxgVh@h T @nt BL^dh ui U0h +^+i+it%\v\Txg\D3]%\%\%\a%\%\%\]]]]3DdD STATEMENT OF EXPENDITURESORIGINAL DHS RECEIPT DATE (For DHS Use Only)1. Contract NumberMichigan Department of Human Services See instructions on page 2. See P.A. 431 information and non- discrimination statement on page 2. FORMTEXT        FORMTEXT        FORMTEXT      SECTION I  Complete for all Submittals1A. Name of Contractor4. Obj5. County FORMTEXT       FORMTEXT      FORMTEXT      6. Period Covered by Statement7. Appn YrFROM: FORMTEXT      THRU: FORMTEXT       FORMTEXT   8. F.E. Number (or) Social Security Number9. Mail Code10. Contract Administrator Signature10a. Approval Date FORMTEXT       FORMTEXT       FORMTEXT      SECTION II  Bill Type11. Authorized DHS Approval Signature(s) (PAL)11a. Approval Date FORMCHECKBOX  ORIGINAL  FORMCHECKBOX  ESTIMATED FORMCHECKBOX  REVISED  FORMCHECKBOX  ADDITIONAL FORMCHECKBOX  FINAL  FORMTEXT      11b. Authorized DHS Approval Signature(s) (PAL) PRINTEDSECTION III Units Rendered to Provide Service to Eligible ClientsTYPE OF SERVICE (1)Contract Rate Per Unit (2)Units Provided This Period (3)Payment Amount This Period (4)Cumulative Units to Date (5)Cumulative Amount to Date (6)Index  FORMTEXT       PCA  FORMTEXT      Clinical Units$63 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Outreach Units$73 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Group Units$120 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Mileage (Outreach only) FORMTEXT       FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Insurance Reimb Reduction FORMTEXT       FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Index  FORMTEXT       PCA  FORMTEXT      Clinical Units$63 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Outreach Units$73 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Group Units$120 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Mileage (Outreach only) FORMTEXT       FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Insurance Reimb Reduction FORMTEXT       FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Index  FORMTEXT       PCA  FORMTEXT      Clinical Units$63 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Outreach Units$73 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Group Units$120 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Mileage (Outreach only) FORMTEXT       FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Insurance Reimb Reduction FORMTEXT       FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Index  FORMTEXT       PCA  FORMTEXT      Clinical Units$63 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Outreach Units$73 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Group Units$120 FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Mileage (Outreach only) FORMTEXT       FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00Insurance Reimb Reduction FORMTEXT       FORMTEXT       FORMTEXT 0.00 FORMTEXT 0.00 FORMTEXT 0.00GRAND TOTAL FOR BILLING =SUM(pmt1,pmt2,pmt3,pmt4,pmt5,pmt6,pmt7,pmt8,pmt9,pmt10,pmt11,pmt12,pmt13,pmt14,pmt15,pmt16,pmt17,pmt18,pmt19,pmt20) \# "0.00" 0.00 =SUM(unit1,unit2,unit3,unit4,unit5,unit6,unit7,unit8,unit9,unit10,unit11,unit12,unit13,unit14,unit15,unit16,unit17,unit18,unit19,unit20) \# "0.00" 0.00 =SUM(amt1,amt2,amt3,amt4,amt5,amt6,amt7,amt8,amt9,amt10,amt11,amt12,amt13,amt14,amt15,amt16,amt17,amt18,amt19,amt20) \# "0.00" 0.00I hereby certify that the expenditures as stated in Section III represent actual expenditures made in accordance with the contract budget DHS-468; or that units of service provided as stated in Section IV have been provided.4 . :      " $ 8 : < F H L     & ( < > @ H J L N b d f p r jh Uj;h Ujh Ujh Uj4h UjhmbUmHnHujh Ujh U hR 5 h 5 h @h 74  > |vvllb 0 & F$If 0 & F$If'$Ifvkd$$If94\!"+4 9af4ytV$If*$If B " J L |vvvv0$Ifvkd$$If94\!"+4 9af4ytV-$If$If $Ifxkd$$If94 \!"+4 9af4ytV " $ & L t NHHHHH-$Ifkd|$$If94rI+  4 9af4pytVt v NHHHH$Ifkd'$$If94rI+  4 9af4pytV   8 Z VLBLBB -$If] $If]kdr$$If94\B+{! 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" """"""2"4"6">"@"B"D"X"Z"\"d"f"h"j"~""""""ɾjfTh 3UjSh 3Uj\ShUjhmbUmHnHujRhU h5jQh 3UhmbjhmbUj6Qh 3UhmbmHnHujhUjPhUh2!!!!!!WG; -$$Ifa$gdjf-$x$If]xa$gdjfkd@R$$If94ֈ\ kz%+ 4 9af4ytjf -$Ifgd 3!"B"h""""N>-$x$If]xa$gdjfkdT$$If94ֈ\ kz%+ 4 9af4ytjf -$Ifgd 3 -$Ifgdjf""""""""""## ####&#(#*#2#4#6#8#L#N#P#X#Z#\#^#r#t#v#~################$󨤙~j&YhUjXhU h5jWh 3UhmbjhmbUjWh 3UhmbmHnHuj|VhUjVhUjhmbUmHnHujUhUhjhU1""#6#\###Bkd X$$If94ֈ\ kz%+ 4 9af4ytjf -$Ifgd 3 -$Ifgdjf -$$Ifa$gdjf###$.$T$z$ -$Ifgd 3 -$Ifgdjf -$$Ifa$gdjf-$x$If]xa$gdjf$$$ $$ $"$*$,$.$0$D$F$H$P$R$T$V$j$l$n$v$x$|$$$$$$$%%%%%%|&}&&&&&'' ' ' ''<>RTVȽ󹴬̠jZ^h Ujh UUh hVhVOJQJhjfOJQJ hjf5hjfjZh 3UhmbjhmbUj Zh 3UhmbmHnHujYhUhjhU5z$|$~$$$$$`PD;;; -$Ifgdjf -$$Ifa$gdjf-$x$If]xa$gdjfkd*[$$If94ֈ\ kz%+ 4 9af4ytjf$$$$$$%&WKBBBB -$Ifgd9 -$$Ifa$gd9kd[$$If94ֈ\ kz%+ 4 9af4ytjf -$Ifgdjf& ' ''("$Ifkdv\$$If94ֈ\ kz%+       4 9af4p2yt9 -$Ifgd9Contractor Signature Date FORMTEXT      INSTRUCTIONS Please Type or Print. SECTION I1.Contract Number  fill in the complete contract number, including the letter prefix as it appears in the upper right hand corner of the contract.1A.Name of Contractor - fill in the contractor name exactly the way it is listed on the front page of your contract.4.A. Obj.  Fill in the four digit object code appropriate for the expenditure.5.County  County name.6.Period Covered by Statement  fill in the beginning and ending date of the service period covered by this statement.7.App. Year - Fill in the four digit appropriation year that funds are to be expended from.8.Federal Employer Number (or) Social Security Number  fill in your federal identification number (or Social Security number) as it appears on Federal tax information. You will need to enter only the last 4 digits of this number.9.Mail Code  Fill in the three digit mail code which corresponds to the mail address.10.Contract Administrator  To be completed by the Department.11.Authorized DHS Approval Signature(s) (PAL)  to be completed by the Department.10A., 11A.Approval Date  to be completed by the Department.11B.PRINTED Authorized DHS Approval Signature (PAL)  to be completed by the Department.SECTION II1.Original, Revised, Final, Estimate and Additional  check the appropriate box.SECTION III  Unit Rate Section(Col. 1)Type of Service, PCA and Index  fill in the appropriate PCA and Index coding. The Types of Service have been preprinted on form as stated in the contract under Section II, Contractor Responsibilities.(Col. 2)Contract Rate Per Unit  rate is prefilled per service as stated in the contract under Section III, Department Responsibilities  Payment.(Col. 3)Units Provided this Period  .complete the number of units for each service per PCA used in this billing period.(Col. 4)Payment Amount this Period  complete the dollar amount of the units. This is the product of the contract rate per unit times the units provided per service per PCA per service period.(Col. 5)Cumulative Units to Date  .fill in the total number of units used from the effective date of this contract to date.(Col. 6)Cumulative Amount to Date  . fill in the amount spent from the effective date of the contract to date.(Col. 4)GRAND TOTAL FOR BILLING  total amount of column 4.SIGNATURE  Signature of person administratively responsible for the contract.Send Original billing to County Contract Administrator for approval. CA will then forward bill to Contract Payment Unit, Suite 1018, Grand Tower Building, Lansing for processing. Copy to Contractor; copy maintained by Contract Administrator.Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area.AUTHORITY: P.A. 280 1939. COMPLETION: Mandatory. PENALTY: No payment processed.     DHS-3469-COUN (Rev. 6-10) Previous edition obsolete. 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TEMPLATEPROJECT.WORKERPHONE.MAIN5!TEMPLATEPROJECT.COUNTYNUMBER.MAIN6!TEMPLATEPROJECT.GRANTEESTATE.MAIN7!TEMPLATEPROJECT.NEWPARAGRAPH.MAIN8"TEMPLATEPROJECT.CLEARCASEINFO.MAIN9"TEMPLATEPROJECT.COPHONENUMBER.MAIN:"TEMPLATEPROJECT.COSUPPADDRESS.MAIN;"TEMPLATEPROJECT.GRANTEECAREOF.MAIN<"TEMPLATEPROJECT.SUPERAREACODE.MAIN="TEMPLATEPROJECT.SVCREFHEADING.MAIN>#TEMPLATEPROJECT.ADDSVCREFERRAL.MAIN?#TEMPLATEPROJECT.SUPEREXTENTION.MAIN@#TEMPLATEPROJECT.SUPERVISORNAME.MAINA#TEMPLATEPROJECT.WORKERAREACODE.MAINB$TEMPLATEPROJECT.ADDCHILDINFOROW.MAINC$TEMPLATEPROJECT.GRANTEEADDRESS1.MAIND$TEMPLATEPROJECT.GRANTEECLIENTID.MAINE$TEMPLATEPROJECT.GRANTEELASTNAME.MAINF$TEMPLATEPROJECT.WORKEREXTENSION.MAING%TEMPLATEPROJECT.GRANTEEFIRSTNAME.MAINH%TEMPLATEPROJECT.INSERTCISADDRESS.MAINI%TEMPLATEPROJECT.SUPERPHONENUMBER.MAINJ(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2@l 9!!!! ! ! ! ! !0  @ "L@UnknownG: Times New Roman5Symbol3& : Arial?5 z Courier New5& zaTahoma;Wingdings"hFr&f Ate6te6r c#4dh[2QHX?w *(DHS-3469-COUN, Statement of ExpendituresTechnical ServicesDepartment of Human Services   kOh+'0 @L l x  ,DHS-3469-COUN, Statement of ExpendituresTechnical Services3469-coun.dot Department of Human Services11Microsoft Office Word@Ɣ @Ak@HE@pSY te՜.+,04 hp  (Michigan Department of Human Services6' )DHS-3469-COUN, Statement of Expenditures Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}1B     P %&49)*+,-./01235>678:f;<=?`@A\CDEFGHIJKLMNOPQRSTUVWXYZ[]^_albcdeghijkm{nopzrstuvwxy|}Root Entry F0Ast (@Data ~+1Table1WordDocument*SummaryInformation(DocumentSummaryInformation8MacrosLJps[t `.`t VBAps[t `.`t dir Unit  3CoZip BDate1  Q  !"#$%&'()*+,-./012456789:;<=>?@ACDEFGHIJKLMNOPRSTUVWXYZ[\]^_abcdefghijklmnpqrstuvwxyz{|}0* pHdTemplateProjectQH@  = |  8 J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\e2.tlb#OLE Automation0MSForms>SFFrms3ED452EE1-E08F-101A-8-02608C4D0BB4EFM20.DLL#Microsoft : ^ Ob Library/;D~1u00}#0#k0 A487B99B7-45FD-41A9-9D3C-5442396ABF5IYDOCUME~1\putmana\LOCALSA\VBE\DT.exd;!.E .`M ÊOffi"cĊOf@ijcŠ A12@DF8D04-BFAhB-BDER5IAA42h@gram Files\CommonGhSha red\o 11\mso.dll4& 8.0 q@%EB<mThisDocumentGT TiDcuenU 2 HB1%,B,!k""+SuperPhoneNumberXG `p@-rP o`eNUbr2r i! iInsertCisAddPresscIstC)Ad e +scmc}o5*gpGranteeFirstNameUcGateiNab?cmc}**elWorkerExtens`GGW@Rrk+ExRASs,Av 2?"UcӰ"La*D"L() )Ea)aCli|IDc) C i*}IDT [t41_ eK41[ _ _ QI}_ PChildInfoXRowS s CSl>!3A0>e)C d`[2r1_*aMo@e3)^y ^viXsorsH S]vSo0 7HQ [ _>rPaKQh w GGGtG V _ 1 u Q(SvcReferraFl $SvR0f0r0a= (X _e0r!l0's  PcHeadihngG0 Hՠ a $i`gg.N2/* ?pq 1 'o1 % u- Q?O $aCY`of3=Zae ;f4* /roPE M Co7pa1kC1p"dasp+ /% K `j A- ( /!# I ClearCasebrAWrTaeub ) aC`% 9G NewParaphN"FwPqag@&a-h@&? `E8  GranteeStateGrantTeSa,2^H 1(,C! +countynumbercouyumbr /+/#AI MWorkerPhonIrkC(Phn 2F_FڠCityG0G CiyFFc#]P#CoExtensionEC#C@CExns@#omF C#  c#[Q#lienFt_Cl@ e@ tFC E#+ c#YL# ƍNamNmK 2U !W!ZipGBˀZ$pE'1a{UCb{!?%{!_'1SAreaCod2 ZAhe`2ad2Co%-QPy>Ux2CU!_'U%/aXseN$aweN஧&/+- eFaPxGeF@3xT2?!+0RemoveRow#RAmvRw$#/ q)0lastn 2#ls`n2$#  1'FirstC:QFAr t awefGo?%P7ddress3Q9dd":s~q fo#6S19R<`W9c!/0(B@JkG'B4Jk 92?%M?(?L0( L$(Z5==DistricZtsD'/rpc`05=;CMPInfoCreIf5S=Y9jA/1A..1?5= 7%Sect]Ni ns2__5_OthePrIDGBOhrDTS #__3_N`oRese% N0[stTS _u51_M4QJCoS __PrrArD4SW_y` _,K[C*ss`,S _ҁ \`+3ښGrW`2 MyBqMy?XB'AHidde HPpa / 1,Q!p+(CountyG ,ounty*t2:Z H 1% oCi oCi oo#oo areOfoareOfo777FaxACG axAC6 2 44Date14D4tl14 4cPCoZipCCZlpDCcLUnitGOUAB2@ModulAN3dlDOl2Ob@vͽ [\cmxMEH 8 " 0Unit  B@oXPiAttribute VB_Name = "Unit" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:=Endv \cmxMEH 8 " 0cozip  B@oXPoAttribute VB_Name = "CoZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cDozEndx \cmxMEH 8 " 0date1  B@oXPlAttribute VB_Name = "Date1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="dEndx FaxAC `CareOf oCoCity~County \cmxMEH 8 " 0FaxAC  B@oXPjAttribute VB_Name = "FaxAC" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx \cmxMEH 8 " 0careof  B@oXPqAttribute VB_Name = "CareOf" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="coEndz \cmxMEH 8 " 0cocity  B@oXPpAttribute VB_Name = "CoCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cocEndz \cmxMEH 8 " 0county  B@oXPnAttribute VB_Name = "County" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=""cEndz mxMEHiddenqMyInfoB-3WorkerAddRowsq @p(Makes the selection hidden text (toggle)TemplateProject.Hidden.MAINh "10 0 pt0 pt0bArial B@ophxAttribute VB_Name = "Hidden" Public Sub MAIN(X) D.nDescription|Makes the selec,h text (toggle)Pro cDataWInvoke_FuncWTemplaTte"jV..JWordBasic.FormatFont Points:="10", Underline:=0, Color@:=9, SkeThrough SuperjFb<:=1mallCap1)ASpacinBg=0 pt>PosiKernMinTabd ArialBoldIIta End \cm xME{'mxME @`Enter Personal InformationTemplateProject.MyInfo.MAIN@ PZFCTPP\ P& DIAP^P`PbPdPfPhPjPlPnPpPrPtPvPxPzP|P~`* h " (08@HPX`hpx &((8*`&(&&(0&X$&$$& $H&p&(N$8$`&&*$"00XT$$0P p <468P686406h846 4H 2 2 4 2( 4` : : 2 P h & 4 6 8 6X 8 6 4 68 8p 4 6 42P24240:h: "02@4x242 0X2402(0`..0. 0P66 ":>XB>F 2h:>6 6X.2::82x62B Fh 4 2 &  (H *p .  2 4(` h x ]]]]]]]](]@]X]p]]]]]]]]0]H]`DEFINE DIALOG BOXF,MyInfo B@"m ^YourName B@$m8^ YourTitle B@$mP^ YourOffice B@$mi^ YourAddress B@$lxYourCity B@$T( YourState B@$FYourZip B@$n(AreaCode B@$P YourPhone B@$<YourExt B@$r(FAXAC B@$PYourFax B@$(YourCO B@$(YourDI B@$(YourSEC B@$T(YourUN B@$(YourWKR B@$m^BossName B@$m^ BossTitle B@$k  /Enter the following information about yourself. B@d#2 Name: B@d;2 Title: B@dR< Office: B@dkU Address: B@d City-ST-Zip: B@d7 Phone: B@d>% FAX: B@dCO-DI-SEC-UN-WKR: B@dK 6Enter the following information about your supervisor. B@d2 Name: B@d 2 Title: B@d X B@&"X B@ B@(]xF !,!..*6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoName MYINFO.ini %X *(UserInfoTitle MYINFO.ini %X *(UserInfoAreaCode MYINFO.ini %X *(&UserInfoPhone MYINFO.ini %X *(UserInfoYourExt MYINFO.ini %X *(`UserInfoFaxAC MYINFO.ini %X *(bUserInfoFax MYINFO.ini %X *(dUserInfoOffice MYINFO.ini %X *(UserInfoAddress MYINFO.ini %X *(UserInfoCity MYINFO.ini %X *(UserInfoState MYINFO.ini %X *(UserInfoZip MYINFO.ini %X *(UserInfoCO MYINFO.ini %X *(UserInfoDI MYINFO.ini %X *(UserInfoSEC MYINFO.ini %X *(UserInfoUN MYINFO.ini %X *(UserInfoWKR MYINFO.ini %X *(UserInfo Boss Name MYINFO.ini %X *(zUserInfo Boss Title MYINFO.ini %X *(|,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT * !B%.'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoName *! MYINFO.ini B@DUserInfoTitle *! MYINFO.ini B@DUserInfoAreaCode *!& MYINFO.ini B@DUserInfoPhone *! MYINFO.ini B@DUserInfoYourExt *!` MYINFO.ini B@DUserInfoFaxAC *!b MYINFO.ini B@DUserInfoFax *!d MYINFO.ini B@DUserInfoOffice *! MYINFO.ini B@DUserInfoAddress *! MYINFO.ini B@DUserInfoCity *! MYINFO.ini B@DUserInfoState *! MYINFO.ini B@DUserInfoZip *! MYINFO.ini B@DUserInfoCO *! MYINFO.ini B@DUserInfoDI *! MYINFO.ini B@DUserInfoSEC *! MYINFO.ini B@DUserInfoUN *! MYINFO.ini B@DUserInfoWKR *! MYINFO.ini B@DUserInfo Boss Name *!z MYINFO.ini B@DUserInfo Boss Title *!| MYINFO.ini B@DGet user info from INI filepDUserInfoName MYINFO.ini %X' ZUserInfoTitle MYINFO.ini %X' \UserInfoAreaCode MYINFO.ini %X' &UserInfoPhone MYINFO.ini %X' ^UserInfoYourExt MYINFO.ini %X' `UserInfoFaxAC MYINFO.ini %X' bUserInfoFax MYINFO.ini %X' dUserInfoOffice MYINFO.ini %X' fUserInfoAddress MYINFO.ini %X' hUserInfoCity MYINFO.ini %X' jUserInfoState MYINFO.ini %X' lUserInfoZip MYINFO.ini %X' nUserInfoCO MYINFO.ini %X' pUserInfoDI MYINFO.ini %X' rUserInfoSEC MYINFO.ini %X' tUserInfoUN MYINFO.ini %X' vUserInfoWKR MYINFO.ini %X' xUserInfo Boss Name MYINFO.ini %X' zUserInfo Boss Title MYINFO.ini %X' | Update Form with user info WorkerName %ZG workerName Z B@\j WorkerTitle %ZG WorkerTitle \ B@\jWorkerAreaCode %ZGWorkerAreaCode & B@\j WorkerPhone %ZG WorkerPhone ^ B@\jWorkerExtension %ZGWorkerExtension ` B@\jFaxAC %ZGFaxAC b B@\j WorkerFax %ZG WorkerFax ~ B@\j Countynumber %ZG Countynumber p B@\jDistrict %ZGDIstrict r B@\jSection %ZGSECtion t B@\jUnit %ZGUNit v B@\jWorker %ZGWorker x B@\j CountyName %ZG CountyName f B@\j CoAddress %ZG CoAddress h B@\jCoCity %ZGCoCity j B@\jCoState %ZGCoState l B@\jCoZip %ZGCoZip n B@\jSupervisorName %ZGSupervisorName z B@\jSupervisorTitle %ZGSupervisorTitle | B@\j. Update other Form Fields on Form & Exit Macro- Selected$=GetFormResult$ ("CurrentDate")! TheSerialDate = Today() + 14$ TheDate$ = Date$(TheSerialDate)& SetFormResult "DueDate", TheDate$) EditGoTo "CreateDate" : UnlinkFields EditGoTo "GranteefirstName"- ToolsProtectDocument .NoReset = 1, .Type = 2/ ToolsProtectSection .Section = 2, .Protect = 0d FileClose 2 SelectName = - 1kho`X1Attribute VB_Name = "MyInfo" Public Sub MAIN(X) D.nDescription|Enter Personal rma:zProcDataIInvoke _FuncITe@mplate"ject..wJDim iRet  User$TitleAreaCod!-PhonYo urExtFaxAC  Offic $Ad dressCidtyStbZ$ipCODISEB;UN WKRBoss| |] 'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 300,H G TextBox 109@ A 5@ 18@ KA#g 56 ,u 83 Cb[ 1\05k 2A33y21A5Au 3~4   ~ 9 7 1$55Ŷ [1 Pi23` n6idV3jFAXAC41e w `VV1@,C:O629 *DI7m qV? UN64!l1.{Vym23n`64`z7,4, c3zthe following info$ about yself. ",  !:w5f"bC #10@8O$31{1aA-ST- u5_ abm3r13@ gY  ;"CO-DI-aT-UN-@H47224* superv0isor!a 124f>6p6iOKButt48 8pR21 f@Cancel3GkEndn 1rdlguQ As Ob: SHet = CurValues. vGET USER INF@O FROMI FILE AND PUT I NTOzx.t[GetPrivfileSp@ng$](" "'P:qMY.ini"r hl ? a"4??>? Mpn_1r &.nAC `axU/-Y??>OMA\C$$a&gp Op | DIpp/-UN0 | {p y QaeProfileString$]("UserInfo", "Boss Name0MYINFO.ini") dl g.LTitle = WordBasic.[GetPrivat >e 'DISPLAY DIALOG BOX AND RESPOTO USER INPUT@ iRet Dialog. F(If -1 Then 'OK BUTTON ?WRIT E NEW3FO6I FILE xSx ቟Your , - -AreaCod|PhonEExtE@FaxACL+@OfficZ Ly+[Address0$ City ? : |StP  z ZNE WKR#kNamڈ OfficeAddress|Co%  ACoCity  ! CoSta>t$c b CoZip  "Supervpisor<, Boss! /Titl% b ' Upd. other ! Fields on& t Macro  Rem" Sel}ed$=G $ ("CurrpentD9'S erial = Today()` + 14$k()D|ue`"GEditGoTo "Ct : Unlink'Granteefirst3"ToolsProtDocum .Noet`1, .TypeM@2/ .= 2 `0 Else#FileClose D Gc.@- 1n@d If Sub H 8 " 0worker  B@oXPlAttribute VB_Name = "Worker" Public Sub MAIN() tdBasic.WW7_EditGoTo Destination:="wEndz {m xME @p+Adds row to table FOLLOWING cursor locationTemplateProject.AddRows.MAINh "0@ B@ B@oH@Attribute VB_Name = "AddRows" Public Sub MAIN() D.pDescription~s row to table FOLLOWING cursor loca\NProcDataZInvoke_FuncZTemplateA"ject..KWordBasic.LineDown 1 TInserBt Numt:D="Ends t{sm xMECorrectCoStateModule1NoReset'/`  @N   " V*h    ]@Q This serves as a replacement to the spell checker within a protected documentCheck spelling now? %P'N N B@j| B@R` B@Tzl B@xko0Attribute VB_Name = "Correct" Public Sub MAIN() Dim ans Rem This se@rves a replacement to the spell checker within @a proted docu3 ZWordBasic.MsgBox("C?King now ?", 3If4-1en  QATools4UnoDi %St`artOf"S7d>0Pg NoReset:=1, Type:=2 End If \cmxMEH 8 "(8costate  B@oPHqAttribute VB_Name = "CoState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cosEnd| \m[xME(<<< <h       !"#$%&()*+,-./012345789:;<=>?@ABCDFGHIKMOPQRSTUVWXYZ[\^_`abcdefghijkmnopqrstuvwxyz|}~ X#2%"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it. ! cladd87 B@kPerform Spelling/Grammar check.e (iat  !8 !( !B@on  ReProtect the document. ! cladd87z l B@koAttribute VB_Name = "Module1" Sub FormsSpellCheck2() Dim x As wdNo Then  9ZPassword:="c@ladd87E nd If'P(erf ing/Gramma8r clK.Op2tBs.vWi thFalse EachIn JsZx.Range.iof>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, N oRese&, o:=wdAllowOnlyAbAAe\com1xMEH 8 " <H hx8 This saves as a form without resetting the form fields.zl B@xoAttribute VB_Name = "NoReset" Public Sub MAIN() Rem This saves a form without rztin g the4fields. WordBasic.ToolsProtectDocument ~:=1, Ty pe:=2End \cm3OtherID'Section6__SRP_0q__SRP_1E.xMEH 8 "(8otherid  B@oPHsAttribute VB_Name = "OtherID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=$"oidEnd| \cm5xMEH 8 "(8Section  B@oPHjAttribute VB_Name = "Section" Public Sub MAIN() WordBasic.WW7_EditGoTo Desti$nar:=End| rU K*yrU~~~~~~~~k W "E F.]`  < Iy! Iq9a 1Y!Aa!Aa!9Qi !9QiA Q 1 ! 1TemplateProject ThisDocumentSuperPhoneNumberInsertCisAddressGranteeFirstNameWorkerExtensionGranteeLastNameGranteeClientIDGranteeAddress1AddChildInfoRowWorkerAreaCodeSupervisorNameSuperExtentionAddSvcReferral SvcRefHeading SuperAreaCode GranteeCareof CoSuppaddress CoPhoneNumber ClearCaseInfo NewParagraph GranteeState countynumber WorkerPhone GranteeCity CoExtension ClientState WorkerName GranteeZip CountyName CoAreaCode ClientCity CaseNumber WorkerFax RemoveRow lastname2 FirstName CoAddress ClientZipRowBreakLastNameDistrictCaseInfoAddress1SectionOtherIDNoResetCoStateCorrectAddRowsWorkerMyInfoHiddenVBACountyCoCityCareOfFaxACDate1CoZipUnitF /C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL  0 F5C:\Program Files\Microsoft Office\OFFICE11\MSWORD.OLBWord  9 @0FC:\WINDOWS\system32\stdole2.tlbstdole   P.E .`M C:\WINDOWS\system32\FM20.DLLMSForms  `{HEA6:N8NB 4 X` p ]]]]]]]]0]H]`]xOPEN FCTPSA TOOLBAR B@ FCTPSA Tools  B@tDEFINE DIALOG BOXF,CaseInfo B@"  YourFCCNo B@$8 YourFCCN B@$wP  YourFCWLNo B@$i YourFCWN B@$  YourPSCNo B@$ YourPSCN B@$fYourHAL B@$0fYourHAF B@$fYourDC B@$k  0Enter the following information about this case. B@d# FC Case No.: B@d; FC Case Name: B@dR FC Load No.: B@dk FC Worker Name: B@d PS Case No.: B@d002 PS Case Name: B@d00 Household Ass'd Last: B@d1\ Household Ass'd First: B@d\V Date Completed: B@dr,X B@& B@(]F !,!..*6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoFCCaseNoC:\Windows\CaseInfo.ini %X *(0tUserInfo FCCaseNameC:\Windows\CaseInfo.ini %X *(2UserInfoFCLoadNoC:\Windows\CaseInfo.ini %X *(4BUserInfo FCWorkerNameC:\Windows\CaseInfo.ini %X *(6lesUserInfoPSCaseNoC:\Windows\CaseInfo.ini %X *(8cUserInfo PSCaseNameC:\Windows\CaseInfo.ini %X *(:UserInfo HouseholdLastC:\Windows\CaseInfo.ini %X *(<UserInfoHouseholdFirstC:\Windows\CaseInfo.ini %X *(>4VUserInfo DCompletedC:\Windows\CaseInfo.ini %X *(@,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT399 * !B%.'\  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoFCCaseNo *!0C:\Windows\CaseInfo.ini B@DUserInfo FCCaseName *!2C:\Windows\CaseInfo.ini B@DUserInfoFCLoadNo *!4C:\Windows\CaseInfo.ini B@DUserInfo FCWorkerName *!6C:\Windows\CaseInfo.ini B@DUserInfoPSCaseNo *!8C:\Windows\CaseInfo.ini B@DUserInfo PSCaseName *!:C:\Windows\CaseInfo.ini B@DUserInfo HouseholdLast *!<C:\Windows\CaseInfo.ini B@DUserInfoHouseholdFirst *!>C:\Windows\CaseInfo.ini B@DUserInfo DCompleted *!@C:\Windows\CaseInfo.ini B@DGet user info from INI fileUserInfoFCCaseNoC:\Windows\CaseInfo.ini %X' UserInfo FCCaseNameC:\Windows\CaseInfo.ini %X' UserInfoFCLoadNoC:\Windows\CaseInfo.ini %X' UserInfo FCWorkerNameC:\Windows\CaseInfo.ini %X' UserInfoPSCaseNoC:\Windows\CaseInfo.ini %X' UserInfo PSCaseNameC:\Windows\CaseInfo.ini %X' UserInfo HouseholdLastC:\Windows\CaseInfo.ini %X' UserInfoHouseholdFirstC:\Windows\CaseInfo.ini %X' UserInfo DCompletedC:\Windows\CaseInfo.ini %X'  Update Form with user infoFCCASENO %ZGFCCASENO  B@\j FCCASENAME %ZG FCCASENAME  B@\jFCWORKERLOADNO %ZGFCWORKERLOADNO  B@\j FCWORKERNAME %ZG FCWORKERNAME  B@\jPSCASENO %ZGPSCASENO  B@\j PSCASENAME %ZG PSCASENAME  B@\jHOUSEHOLDASSESSEDLST %ZGHOUSEHOLDASSESSEDLST  B@\jHOUSEHOLDASSESSEDFST %ZGHOUSEHOLDASSESSEDFST  B@\j DATECOMPLETED %ZG DATECOMPLETED  B@\j. Update other Form Fields on Form & Exit Macrod B@F'kxophmAttribute VB_Name = "CaseInfo" Public Sub MAI`N() D.rDescriptionEnter Personal rma:zProcDataIInvoke_FuncITemplateA"ject..yLDim iRet  UserFCCNo$ I WL WNPS HALFDCSelU 'OPEN FCTPSA TOOLBAR WordBasic.ViewToolbars ColorButtons:=1, Large0, Tipc"':=";/s", Show+'DEFINE DIALOG BOXBeginDialog 582, 30 Ʌ 1Text@Box 15 3 265, 18, "Youdka 56,  8/ wW 7@ 10ˀ& N13]\ 5A  2AY1y510QO 24 F i24 $DC@ 4 1079` 4B3;c|the following info} about this c. 19K$,1 FC | No.:w5p!YLoad #Y^k{x 1` PS} ,5,3 1 93(Household AsHs'd`st2B;FirD`eted3IOKc26% 821 EndÏdlgA Oba: SHet I= GCurValues.! GET USER INF@O FROM I FILE AND PUT I@NTO .@G[GetPrivfileSng$]("\NoaC:\Windows\!.ini" p H?u $T???C5?u?oNCp`9Q9_er"\OON OOjS##2bdaDLastooegHAF???KϒGOOHDC??>DCoKCDISPLAYAbCRESPOCPCED * HHIf(x>P?If0-1 Then 'OK BUTTONWRITE NEWXLIN6LYTQH`zHeB,G~OJo<O e4:CN;&HM_R] GW % GEo k SGO"qrA GL >FFFDCr fromr?cqfD)dC:("UserInfo", "FC CaseNXC:\Windows\P.ini"p) N$ = WordBasic.[GetPrivateProfileString$]1amev"jWLNo5lLoad(ՆWjkerNkPSC5k)ց4#'5HALsHouseholdLastdHAF<HFirfDC3DCompleted5 ' Upd Form with @Er &iIfExistBook mark(AASENO") ThDen SetR`esult ,2 yo$_ G AME CC A WORKERLOAD N'f N?!@j#/]4# ?$_ "H HOUSEHOLDASSE@DLST^B_#AnF"F?!DATECOMPLET?@ACDEFGHIJKLMNOPRSTUVWXYZ[\]^_abcdefghijklmnpqrstuvwxyz{|}xMEH 8 "(8 clientcity  B@oPHuAttribute VB_Name = "ClientCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="ccEnd \cmQxMEH 8 "(8 coareacode  B@oPHxAttribute VB_Name = "CoAreaCode" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="coa"cEnd \cmSxCountyNameGranteeZip,.$WorkerName3ClientState+3BMEH 8 "(8 countyname  B@oPHuAttribute VB_Name = "Countyh" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=4"cnEnd \cmUxMEH 8 "(8 GranteeZip  B@oPHpAttribute VB_Name = "GranteeZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End \cmWxMEH 8 "(8 workername  B@oPHtAttribute VB_Name = "Workerh" Public Sub MAIN() dBasic.WW7_EditGoTo Destination:="wnEnd \cmYxMEH 8 "(8 clientstate  B@oPHvAttribute VB_Name = "ClientState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinati@on:="csEnd \cm[xMEH CoExtensionQGranteeCity02`WorkerPhoneocountynumber15~8 "(8 coextension  B@oPHtAttribute VB_Name = "CoExtension" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatr@:="coeEnd \cm]xMEH 8 "(8 GranteeCity  B@oPHqAttribute VB_Name = "GranteeCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End \cm_xMEH 8 "(8 workerphone  B@oPHuAttribute VB_Name = "WorkerPhone" Public Sub MAIN() dBasic.WW7_EditGoTo DestinationP:="wpEnd \cmAxMEH 8 "(8 Countynumber  B@oPHtAttribute VB_Name = "countynumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="C End \cmCxGranteeStateNewParagraph46^ThisDocument_VBA_PROJECT/?:MEH 8 "(8 GranteeState  B@oPHrAttribute VB_Name = "GranteeState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:= End \cmExMEH 8 " (@`px B@ B@j $ B@tzl B@x B@oŰAttribute VB_Name = "NewParagraph" Public Sub MAIN() WordBasic.ScreenUpdating 0 >ToolsUnprotectDo@cument Insert Chr(13[?P = NoReset:=1, Type:=2 QCharRight 1 End mk#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%HxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2\cmGay  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.3#0#C:\Program Files\Microsoft Office\OFFICE11\MSWORD.OLB#Microsoft Word 11.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{487B99B7-45FD-41A9-9D3C-5442396ABF56}#2.0#0#C:\DOCUME~1\putmana\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.3#0#C:\Program Files\Common Files\Microsoft Shared\office11\mso.dll#Microsoft Office 8.0 Object Library<   8&'$%"#!./,-*+()67452301 ;:89m<ThisDocument0:4d28050dThisDocumentk% SuperPhoneNumber0;4d28050d SuperPhoneNumberi% InsertCisAddress0<4d28050d" InsertCisAddressg05 GranteeFirstName0=4d28050d^ GranteeFirstNameeH%WorkerExtension0>4d28050d`WorkerExtensionc`%GranteeLastName0?4d28050dbGranteeLastNameax%GranteeClientID0@4d28050ddGranteeClientID%GranteeAddress10A4d28050dfGranteeAddress1}%AddChildInfoRow0w4d28051dhAddChildInfoRow{|WorkerAreaCode0C4d28050d|WorkerAreaCodeySupervisorName0D4d28050d~SupervisorNamewSuperExtention0E4d28050dSuperExtentionuAddSvcReferral0F4d28050dAddSvcReferrals SvcRefHeading0G4d28050dSvcRefHeadingq8 SuperAreaCode0H4d28050dSuperAreaCodeOPGranteeCareof0I4d28050dGranteeCareofMhCoSuppaddress0J4d28050dCoSuppaddressKCoPhoneNumber0K4d28050dCoPhoneNumberIClearCaseInfo0L4d28050dClearCaseInfoG NewParagraph0M4d28050dNewParagraphEGranteeState0N4d28050dGranteeStateCcountynumber0O4d28050dLcountynumberAWorkerPhone0P4d28050dWorkerPhone_GranteeCity0Q4d28050dGranteeCity](CoExtension0R4d28050dCoExtension[@ClientState0S4d28050dTClientStateYXWorkerName0T4d28050d$WorkerNameWpGranteeZip0U4d28050dGranteeZipUCountyName0V4d28050d*CountyNameSCoAreaCode0W4d28050dCoAreaCodeQClientCity0X4d28050dRClientCity/CaseNumber0Y4d28050dJCaseNumber-WorkerFax0Z4d28050dWorkerFax+RemoveRow0[4d28050dRemoveRow)qlastname20]4d28050dlastname2'0FirstName0^4d28050dFFirstName%HCoAddress0_4d28050dCoAddress#`ClientZip0`4d28050dVClientZip!xRowBreak0a4d28050dRowBreak?MLastName0b4d28050dHLastName=District0c4d28050d,District; CaseInfo0d4d28050dCaseInfo9Y Address10e4d28050dPAddress17 Section0f4d28050d.Section5 OtherID0g4d28050dHOtherID3  NoReset0h4d28050dzNoReset18uCoState0i4d28050dJCoStatePCorrect0j4d28050dLCorrect hyAddRows0k4d28050dVAddRows  Worker0l4d28050d2 Worker  MyInfo0m4d28050dX MyInfo' Hidden0n4d28050d Hidden County0o4d28050d County CoCity0p4d28050d CoCity CareOf0q4d28050dN CareOf FaxAC0r4d28050db FaxAC( Date10s4d28050d Date1@ CoZip0t4d28050d CoZipXUnit0u4d28050d0UnitpModule1114d28052aModule1[b`@PHp(8ph(0HxXX@0 `8P?ؕ3X NW}sG>Ey29TaAFigWiGAdϹR *hBd$(z&BǏA{md^չK~aeXJEf|s^J~jJ0mb-{vBHb4{u9h-F=H7~ {FnmKNKO3%1&&W@՗S4Y@#?Q+$yyzI(TT6E95G9Bj)MlELbj t_LW7䟪ډPwMcoZ%2KF"I2s*arh6oDotk*K/NEO6GwQ:-PHAǸrp8@>{fq ,GB _izfR\J[w^f7l7Kkň*LLÔuV d]OtX` @1 @W/Mks(VFR:p2*pEIx(fՏE[Ⱦ.\S UE XhJo5`Mn]Rq1N 6Z3ҸasL\WE:>j@C"Sn!LLL@?r(g*BRXEJгϊ"GF52mh:ҮqDTi |"x$"NE }-cXFX. ROs_D(hE c1CG=sa+3BZl)G~o*ǏXIWordkVBAWin16~Win32MacVBA6#TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _EvaluateSuperPhoneNumber\MAIN, WordBasic WW7_EditGoTod DestinationлInsertCisAddress>} WorkerNameJAreaCode PhoneNumber CountyNameDistrict}-SectionGUnitWorker8 ApDistrictApUnitPApWorkerW FsDistrictaFsUnitFsWorker SvDistrict]SvUnit/SvWorker FirstNameLastName CaseNumberA countynumberyxCareOfƻAddress1O ClientCitym ClientState ClientZipGetPrivateProfileString$xExistingBookmark SetFormResultGranteeFirstNameEWorkerExtensionGranteeLastName.GranteeClientIDGranteeAddress1AddChildInfoRow^ToolsUnprotectDocument(NextCellWW7_EditAutoTextCContextXnInsertAsInsertrCharLeftToolsProtectDocument-0NoResetgWorkerAreaCodeSupervisorNameSuperExtentionAddSvcReferral} SvcRefHeadingi&TableSelectRowTableInsertRowQNumRows CenterParaLineUpK InsertPara,LineDownxTableInsertCells ShiftCells( CharRightPTableMergeCellst BorderRight_ SuperAreaCodeq GranteeCareof CoSuppaddress^  CoPhoneNumberx ClearCaseInfohFileFind SearchName֡ SearchPath.SubDir+Title~AuthorKeywordsTSubjectRPOptions MatchCase PatternMatch DateSavedFromu= DateSavedTojdSavedByDateCreatedFrom DateCreatedToViewISortByoListBy+ SelectedFile\Kill NewParagraphqScreenUpdating! ChrK~ GranteeStateM WorkerPhone GranteeCity@ CoExtensionK GranteeZip  CoAreaCode WorkerFaxv RemoveRow0^TableDeleteRowA lastname2sL CoAddressRowBreakFTableRowHeight"X RulerStyleaLineSpacingRulep LineSpacing LeftIndenti AlignmentI AllowRowSplit{CaseInfoiRet,p UserFCCNoBUserFCCN7 UserFCWLNoyUserFCWN UserPSCNoOUserPSCNqUserHALօUserHAFЅUserDC SelectNameW; ViewToolbars| ColorButtons} LargeButtonsSWToolTips5+Toolbar2Show BeginDialogFTextBoxQOKButton| EndDialogmP dlgUserInfo2" CurValuesȤ UserDialog YourFCCNo+YourFCCN. YourFCWLNoYourFCWN0 YourPSCNo9YourPSCNP<YourHALYYourHAFYYourDCDialogfSetPrivateProfileString= FileClose_OtherIDCoState1Correct'ansxtMsgBoxRStartOfDocument ToolsSpellingAddRowsMyInfo@UserName\ UserTitleV9 UserPhoneYourExthLFaxACjYourFaxrN UserOffice0 UserAddressFUserCity UserStateUserZipDUserCOUserDIUserSEC4UserUN0UserWKR,BossNamef BossTitleHFaxY CancelButtonYourName;R YourTitleA# YourPhone YourOffice YourAddressYourCity YourStateYourZipYourCOYourDIYourSECvYourUNVYourWKRnHidden] FormatFont&Points UnderlineColor2F StrikeThrough" Superscript SubscriptV SmallCaps~cAllCapss_SpacingSPositionKerningB KerningMin1FontUBoldItalic!CountyG8CoCityr7Date11CoZip0DocumentjModule1bFormsSpellCheck2gzxo FormFieldActiveDocument\ProtectionTypewdNoProtection Unprotect?PasswordCheckGrammarWithSpelling FormFields-|Range  NoProofing] CheckSpellingW AlwaysSuggestProtectfwdAllowOnlyFormFields!#% + -( /+1:31I,K.M/G#I'KMO6Q*S U!W%"W0#Y2$c7%_&a'c(e)g*i+{-,} 5 6 7 8 93:BGHIJ4K5S8T9U;wVadefgh i!j"k$m&n)o X8ClearCaseInfoVCoPhoneNumber8:CoSuppaddressGranteeCareof9=xMEH 8 "&   c:\windows\ caseinfo.inid B@c:\windows\caseinfo.ini B@oH@EAttribute VB_Name = "ClearCaseInfo" Public Sub MAIN() WordBasic.File@Find Slch:=" ",! Path c:\wJows\4Jceie.ini0ubDir:=0, Title6Autho" Keywysject Option=`MatchKex#ternDateSavedFrom# LToByC?@ABCDEFGIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmopqrstuvwxyz{|~H 8 " (8 Granteecareof  B@oPHvAttribute VB_Name = "GranteeCareof" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=cEnd \cmOxMEH SuperAreaCodeSvcRefHeading<> AddSvcReferralHs SuperExtention;Cn8 " (8 superareacode  B@oPH}Attribute VB_Name = "SuperAreaCode" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="sacEnd \c mqxMEH ?8@ "  (@2P  2  2 P ` p2   2  0 @2P   2   2  X h2x   4  ( 84H     0 HXh4x 4( B@j B@ B@ B@vsvcrefh1prt B@nsx B@tem B@lssosvcrefh2prt B@nk8i< B@499 B@ B@lpsvcrefh3prt B@nSvcR B@p B@t B@lrsvcrefh4prt B@nt B@ B@istowr B@l%Xsvcrefh5prt B@n B@ B@ B@lsvcrefh6prt B@n B@ B@ B@lsvcrefh7prt B@n B@ B@ B@lsvcrefh8prt B@n B@ B@lsvcrefh9prt B@n B@ B@ B@l svcrefh10prt B@n B@ B@ B@l svcrefh11prt B@n B@ B@Add Instruction Row B@ B@ B@v B@ B@ B@l  B@ B@ B@ B@v SvcRefH12prt B@n B@l svcrefH13prt B@nzl B@xoAttribute VB_Name = "SvcRefHeading" Public Sub MAIN() WordBasic.ToolsUnprotectDocu@ment Ba@bleSel?@CDEFGHIJKLMNOQRSTUVWXYZ[\]^_`abcdefghijklmnoMEH 8 " (8supervisorname  B@oPH{Attribute VB_Name = "Supervisor" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinati@on:="snCEnd \cmyxMEH 8 " (8workerareacode  B@oPH|Attribute VB_Name = "WorkerAreaCode" Public Sub MAIN() dBasic.WW7_EditGoTo Destination:="wacEnd vm{xME(6 << <x `hp%H@ 8$*\Rffff*0w4d28051d "  4( `4p 4 4 84H 4 4 @P B@j B@l ChildInfo1prt B@n B@l ChildInfo2prt B@n B@l ChildInfo3prt B@n B@l ChildInfo4prt B@nc: B@ltowrd. ChildInfo5prt B@nr B@l\cisto ChildInfo6prt B@n B@listowr ChildInfo7prt B@n B@vzl B@xoAttribute VB_Name = "AddChildInfoRow" Public Sub MAIN () WordBasic.ToolsUnprotectDocument BNextCell &WW7_EditAutoT" :="1"@, Cont:=0, InsertAs :=1U>f2c33c34c3567CharLeft( 30RP N@oReset, Type:=2 EndA \cm}xMEH 8 ""0@GranteeAddress1  B@oH@uAttribute VB_Name = "GranteeAddress1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End GranteeClientID GranteeLastName DGWorkerExtension GranteeFirstName"FH\cmxMEH 8 ""0@GranteeClientID  B@oH@uAttribute VB_Name = "GranteeClientID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End \cmaxMEH 8 ""0@granteelastname  B@oH@~Attribute VB_Name = "GranteeLast" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="glnEnd \cmcxMEH 8 ""0@workerextension  B@ ܮBoH@xAttribute VB_Name = "WorkerExtension" Public Sub MAIN() dBasic.WW7_EditGoTo DestinaBtr:="weEnd \cmex      !"#$%&'()*+,-./0123456789:;<=>?@ABDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abdMEH 8 ""0@granteefirstname  B@addoH@Attribute VB_Name = "GranteeFirstL" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="g5fnEnd \cmixMEInsertCisAddress"ISuperPhoneNumber"PROJECTK PROJECTwmCDK/mgxME0 @_=Retrieves CIS Client address info from c:\glwin\cistowrd.ini px%TemplateProject.InsertCisAddress.MAIN-][P$enP&atP(P*P,P.P0P2P4P6P8P:P<P>P@PBPDPFPHPJPLPNPPPRPTPV` " (08@HPX`hpx>BF`DBB8>@ FBHD FB Dh FBD@ DBDF`@B>0@p> :606h:>: :` > 2 : 2X 6 : 2 6@ :x 2 6 :( :h F F :8 6x 6 . 26P>: ]]]]]]0]H]`]x]]]]]]] ]8]P]h]]]]]]] WorkerInfoNamec:\glwin\cistowrd.ini %X' $ WorkerInfoAreaCodec:\glwin\cistowrd.ini %X' & WorkerInfo PhoneNumberc:\glwin\cistowrd.ini %X' ( WorkerInfo CountyNamec:\glwin\cistowrd.ini %X' * WorkerInfoDistrictc:\glwin\cistowrd.ini %X' , WorkerInfoSectionc:\glwin\cistowrd.ini %X' . WorkerInfoUnitc:\glwin\cistowrd.ini %X' 0 WorkerInfoWorkerc:\glwin\cistowrd.ini %X' 2ApWorkerDistrictNumberc:\glwin\cistowrd.ini %X' 4ApWorker UnitNumberc:\glwin\cistowrd.ini %X' 6ApWorker WorkerNumberc:\glwin\cistowrd.ini %X' 8FsWorkerDistrictNumberc:\glwin\cistowrd.ini %X' :FsWorker UnitNumberc:\glwin\cistowrd.ini %X' <FsWorker WorkerNumberc:\glwin\cistowrd.ini %X' >SvWorkerDistrictNumberc:\glwin\cistowrd.ini %X' @SvWorker UnitNumberc:\glwin\cistowrd.ini %X' BSvWorker WorkerNumberc:\glwin\cistowrd.ini %X' D ClientInfo FirstNamec:\glwin\cistowrd.ini %X' F ClientInfoLastNamec:\glwin\cistowrd.ini %X' H ClientInfo CaseNumberc:\glwin\cistowrd.ini %X' J ClientInfo CountyNumberc:\glwin\cistowrd.ini %X' L ClientInfoCareOfc:\glwin\cistowrd.ini %X' N ClientInfoAddress1c:\glwin\cistowrd.ini %X' P ClientInfoCityc:\glwin\cistowrd.ini %X' R ClientInfoStatec:\glwin\cistowrd.ini %X' T ClientInfoZipc:\glwin\cistowrd.ini %X' V FirstName %ZG FirstName F B@\jLastName %ZGLastName H B@\jAddress1 %ZGAddress1 P B@\j ClientCity %ZG ClientCity R B@\j ClientState %ZG ClientState T B@\j ClientZip %ZG ClientZip V B@\j CaseNumber %ZG CaseNumber J B@\j CountyNumber %ZG CountyNumber L B@\jCareOf %ZGCareOf N B@\j ApDistrict %ZG ApDistrict 4 B@\jApUnit %ZGApUnit 6 B@\jApWorker %ZGApWorker 8 B@\j FsDistrict %ZG FsDistrict : B@\jFsUnit %ZGFsUnit < B@\jFsWorker %ZGFsWorker > B@\j SvDistrict %ZG SvDistrict @ B@\jSvUnit %ZGSvUnit B B@\jSvWorker %ZGSvWorker D B@\j FirstName2 %ZG FirstName2 F B@\j LastName2 %ZG LastName2 H B@\jGranteeFirstName %ZGGranteeFirstName F B@\jGranteeLastName %ZGGranteeLastName H B@\j WorkerName %ZG WorkerName $ B@\jDistrict %ZGDistrict , B@\jSection %ZGSection . B@\jUnit %ZGUnit 0 B@\jWorker %ZGWorker 2 B@\jAreaCode %ZGAreaCode & B@\j PhoneNumber %ZG PhoneNumber ( B@\j CountyName %ZG CountyName * B@\joAttribute VB_Name = "InsertCisAddress" Public Sub MAI`N() ".DescriptionReeves CIS Client a info from c:\\glwin\\cistowrd`.ini wbProcDatanInvoke_FuncnTemplate"jec4t. .TDim Worker$ Are aCodePhoneNumberCountyDUrictS9{Uni 5 Ap Ap$Ap Fs FsIFs Sv SvSv,irsteLaCas ?c?nCarelOf5u1zCity St@gJZip&#q@dBasic.[GetPrivt fileSngP$](" I", "C "w4 HtG J i13 eg r Z ba a Q$   ʼnA 0c D A%_  & H_ D &fA &iC C?Mr &Pwa d YY%foYdjoonola_oOONoԊm Ffurul/Tz___"OH8ooo""lZ Rooo 41/:r OY "/.???"ONAw///" IfEx0QBookmark("7) ThenSetFormResult , V 6H9 "h%)",q??Q"OOnte%#ooa"OOn~t%#&"?>#SN_\, T+Basic.ExistingBookmark("CareOf") Then WordSetFormResult , ^$ 0 If^ApDrict*,  ecUni?!_&-+ke~r\-.Ffs, aF>sz FFs?<_ FSv3F , FSvF FSv d Pho@neNumb"i,  CountyQ}~0 End Sub H 8 ""0@superphonenumber  B@svcoH@Attribute VB_Name = "SuperPhoneNumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="spnEnd ID="{6067A2BC-1C94-4319-B378-7ECBA57356F2}" Document=ThisDocument/&H00000000 Module=SuperPhoneNumber Module=InsertCisAddress Module=GranteeFirstName Module=WorkerExtension Module=GranteeLastName Module=GranteeClientID Module=GranteeAddress1 Module=AddChildInfoRow Module=WorkerAreaCode Module=SupervisorName Module=SuperExtention Module=AddSvcReferral Module=SvcRefHeading Module=SuperAreaCode Module=GranteeCareof Module=CoSuppaddress Module=CoPhoneNumber Module=ClearCaseInfo Module=NewParagraph Module=GranteeState Module=countynumber Module=WorkerPhone Module=GranteeCity Module=CoExtension Module=ClientState Module=WorkerName Module=GranteeZip Module=CountyName Module=CoAreaCode Module=ClientCity Module=CaseNumber Module=WorkerFax Module=RemoveRow Module=lastname2 Module=FirstName Module=CoAddress Module=ClientZip Module=RowBreak Module=LastName Module=District Module=CaseInfo Module=Address1 Module=Section Module=OtherID Module=NoReset Module=CoState Module=Correct Module=AddRows Module=Worker Module=MyInfo Module=Hidden Module=County Module=CoCity Module=CareOf Module=FaxAC Module=Date1 Module=CoZip Module=Unit Module=Module1 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="D3D10271D175D175D175D175" DPB="A6A477A699AA6DAB6DAB6D" GC="797BA84DA94DA9B2" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C SuperPhoneNumber=0, 0, 0, 0, C InsertCisAddress=0, 0, 0, 0, C GranteeFirstName=0, 0, 0, 0, C WorkerExtension=0, 0, 0, 0, C GranteeLastName=0, 0, 0, 0, C GranteeClientID=0, 0, 0, 0, C GranteeAddress1=0, 0, 0, 0, C AddChildInfoRow=0, 0, 0, 0, C WorkerAreaCode=0, 0, 0, 0, C SupervisorName=0, 0, 0, 0, C SuperExtention=0, 0, 0, 0, C AddSvcReferral=0, 0, 0, 0, C SvcRefHeading=0, 0, 0, 0, C SuperAreaCode=0, 0, 0, 0, C GranteeCareof=0, 0, 0, 0, C CoSuppaddress=0, 0, 0, 0, C CoPhoneNumber=0, 0, 0, 0, C ClearCaseInfo=0, 0, 0, 0, C NewParagraph=0, 0, 0, 0, C 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