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ChiCAS Appointment Card - Spanish

ICR 202106-0920-005 · OMB 0920-1266 · Object 112560600.

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Attachment 10b


ChiCAS Appointment Card Spanish



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Si no puedes asistir, llama o textea a Lucero Refugio Aviles:

 

(336) 339-0349



 

 

Nombre: ________________

 

Fecha: _____ /_____/______

 

Hora: _____

 

 

____________________________

 

 


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Si no puedes asistir, llama o textea a Lucero Refugio Aviles: 



(336) 339-0349



 

 

Nombre: _________________

 

Fecha: _____ /_____/______

 

Hora: _____

 

 

____________________________

 

 


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(Fry &Flesch-Kincaid Readability: grade=6)



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title ChiCAS Appointment Card - Spanish
AuthorCindy Miller/PHS
File Modified0000-00-00
File Created2021-06-25