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803FFFFFFFFFFFFF81FFE01FE01FE01FFFFFFFFFF00FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFD C07FFFFFFFFFFFFFFFFFF03FF03FF07FFFFFFFFFF81FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFB F0FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFD here restore vmrs vmr end % FreeHandDict %%EndDocument: _ 0dfsM>DIVISION OF JUVENILE REHABILITATION (DJR) YOUTH PERSONAL PROPERTY TRANSMITTAL)  *  #ds@#d"Cell1@@ddd@f ddl KP PdPa#d@ffDATEdqCell102ddd@f ddl KP Pq adfffRECEIVING AGENCY SIGNATURE@d&fsi*DISTRIBUTION: White - Receiving Agency Yellow - DJR Transportation Pink - Sending Agency @pdefsDSHS 20-191(X) (REV. 07/93) #d"Cell11:2ddd@f ddl KP Pva#dfffDATEdqCell13L2dddf ddl KP Pw dfffDJR TRANSPORTATION SIGNATURE#dqCell14:2dddf ddl KP Px#dfffDATEdqCell15L2ddd@f ddl KP Py adfffSENDING AGENCY SIGNATURE#dqCell16:2ddd@f ddl KP Pza#dfffDATE#dqCell2L2dddf ddl KP P{ #dfff YOUTH'S NAMEdqCell4L2 ddd@f ddl KP P} adfffSENDING AGENCY#dqCell5L2 ddd@f ddl KP P~a#dfffRECEIVING AGENCY#di dddfd gHndffTitle  PdCell12. / N dd@dfddn BP n  aPdffQUANTITYPdqCell17. / N dd@dfddn BP n `adfffITEM#dqCell18. / N dd@dfddn BP n  a#dfffREMARKS Pd&fs&Containers (box, suitcase, duffel bag)    0defs Medications   0 Pdffs Valuables   dfsCash or checks  p  dffsOther (describe):  P}d rP} | | ||| ||| 0 ? ; 0 <  ? 8    ? ? > >? > > > > ?  5   <?08*-???????>( /3 ) //) 9?5%& >/ / ) 4 , 4 ?~; >!! |?5! x` &w<y 5#= "q ! b3b b"`2! 3dbb dfc5 r`lDbd2 ddb$ |r(Db2dlb8 |c6HC;vr@. >>"#DIVISION OF JUVENILE REHABILITATION (DJR) YOUTH PERSONAL PROPERTY TRANSMITTAL)  *  .#ds@#d"Cell3Pwf@ dddf ddl KP P P#d@ffDATE-.dqCell6aPwf@ ddd-f ddl KP P- -dfffRECEIVING AGENCY SIGNATURE./Pd&fsi*DISTRIBUTION: White - Receiving Agency Yellow - DJR Transportation Pink - Sending Agency /P/pdfsDSHS 20-191(X) (REV. 07/93) -.#d"Cell7Pwf@ddd-f ddl KP P- -#dfffDATE+-dqCell8jPwf ddd,Pf ddl KP P+ ,qdfffDJR TRANSPORTATION SIGNATURE+-#dqCell9Pwf@ddd,Pf ddl KP P+,q#dfffDATE*+dqCell19[Pwf@ddd*f ddl KP P* *dfffSENDING AGENCY SIGNATURE*+#dqCell20Pwf@ddd*f ddl KP P* *#dfffDATE#dqCell21 -Pwf@dddPf ddl KP P q#dfff YOUTH'S NAME!dqCell22GPwf@dddf ddl KP P dfffSENDING AGENCY!#dqCell23NPwf@dddf ddl KP P #dfffRECEIVING AGENCY!*#didddfd gHndffTitle  !*PdCell24PY  dd!dfddn BP n ! !PdffQUANTITY!P*dqCell25PVNmP dd!dfddn BP n ! `!dfffITEM!*#dqCell26PVNmP dd!dfddn BP n !  !#dfffREMARKS"p# Pd&fs&Containers (box, suitcase, duffel bag)  $$defs Medications  %&pPdfs Valuables  '`(defsCash or checks  )) dffsOther (describe):  Black2P Medications  %&pPdBlack2P Valuables  '`(d2Black2PCash or checks  )) d2Black2POther (describe):  EBlackEETitle   < D0d@Black @ @0 ` dQBlackCell152ixjddd D dd^ \ONNVdEBlackEETitle   p dQBlackCell153ixkddd D dd^ \ONNV dEBlackEETitle    dQBlackCell154ixlddd D dd^ \ONNV dEBlackEETitle     dQBlackCell155ixmddd D dd^ \ONNV dEBlackEETitle    $0d@Black  0 p` dQBlackCell157ixnddd D dd^ \ONNV dEBlackEETitle   pp dQBlackCell158ixoddd D dd^ \ONNVdEBlackEETitle   p dQBlackCell159ixpddd D dd^ \ONNVdEBlackEETitle   p  dQBlackCell160ixqddd D dd^ \ONNVdEBlackEETitle   0d@Black 0 P` dQBlackCell162ixrddd D dd^ \ONNVdEBlackEETitle   Pp dQBlackCell163ixsddd D dd^ \ONNVdEBlackEETitle   P dQBlackCell164ixtddd D dd^ \ONNVdEBlackEETitlAz) // @@X F @@N@@@@ @@@@@~"*"`f"*f"*dA~"*ţ"dA~""hIţ"~"dA~"iI-\I-~"~"R5!.RxIiIZxI~"wIFZ"{ILdDFLR5!.ɫD֫D|FF1*bDf"OR@@@@ _ l @@ X Df" @@  @@ X Df" @@@@n n @@ X Df" @@*RbDf"OR@@X Df"  =B=    4 HH ݺ  HH ݺ\ HH ݺ\ HH ݺ\ HH ݺ HH ݺ. 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