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Get TX DADS 1745 2013

Yer Name Service Type Service Provider Name PAS Service Date SHL Time In (AM or PM) Time Out (AM or PM) Time In (AM or PM) Time Out (AM or PM) Total Hours : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 : : : : 0 Total Hours Respite Community Support Place of Service Residential Habilitation Other Written Narrative C.

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