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Get 04-269 Date 09-17-2004 To: From: County Welfare Director Supply Clerk / Forms Coordinator Forms

/ Forms Coordinator Forms Management Unit (916) 657-1907 Community Care Licensing District Offices Private and Public Adoption Agencies District Attorney Other Listed below is information regarding a form change. Only applicable information is shown. This notice updates your Department of Social Services County Forms Catalog. FORM NUMBER AND TITLE NA 845 (4/04) English and Spanish Notice of Action - Welfare to Work ORDER UNIT ESTIMATED PRICE MASTER ONLY DATE OF FORM New Revised INIT.

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