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12. DHS Worker Name The original receipts and invoices must be attached to the DHS-1291 or DHS-1582 in order for a payment to be processed. A copy of all original receipts and invoices must remain attached to a hard copy of the DHS-4713 and located in the youth s case file. O. Box 30037 Lansing MI 48909-7537 DHS-4713 Rev. 10-10 Previous edition obsolete. MS Word individual or group because of race religion age national origin color height weight .

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