ࡱ                >  	               Z          \          Y    	               G
   bjbjcTcT                  	 8>  > > *                                                                     
      
  M      M      M      M      M                 a      a      a  8             a        .  i      i      i      i      i      D      D      D                                               C                              M      D                      D      D      D      D                    M      M      i              i          (      (      (      D  ^   M      i      M      i                    (                                                      D                    (              (                                                                              (      i          0;O*        a        X   (                     0         (      e           e      (                                                                              e              M      (  |   D      D      (      D      D                                      D      D      D                                                                                       D      D      D            D      D      D      D                                                                                          e      D      D      D      D      D      D                                                              D      D      D      
  	    :     	                                                                                                                                                                                                                                                                                                                                                                                                                                      MISSOURI DEPARTMENT OF SOCIAL SERVICESCHILDRENS DIVISIONRECEIPT FOR SERVICES RENDERED The purpose of this form is to document services rendered and payment received. DATE SERVICE RENDERED Description of ServiceNAME OF YOUTH(list each youth for which the service was provided)Amount ReceivedTOTAL AMOUNT RECEIVEDSignature of payeeSignature of Resource ProviderReceipt must be signed by both the payee and the Resource Provider to be valid REV 6/10                                                                                                                                                                                                                                                                                                                                                                                                                                                                =  B  Q  [  \  ]  ^  r  z  {  }          2	  	  	  	  	  	  	  	  ʺʪwpwh`UJ                   hg0 hBD4 CJ aJ  hBD4 h+ CJ  aJ   h+ CJ  aJ   hBD4 CJ  aJ   hBD4 hBD4  hb hBD4 CJ  aJ   hb hBD4 ;hBD4  h<  hJx  h=&  h`$ h' 5>*CJ ^J aJ  hBD4 h' 5>*CJ ^J aJ  hBD4 h=& 5CJ \^J aJ  hBD4 hBD4 5CJ \^J aJ  hJx h' ^J  h`$ h' CJ ^J aJ  j    h`$ h' CJ U^J       )  =  \  ]  ^                                                          e            c            c            c            c            Z                  	  $If   gdBD4    m  kdZ!  $$If   l 4?0 L0*8                &                	              *                            4 
l af4p            ytQ=    $7$ 8$ H$ If   gdBD4    $7$ 8$ H$ If   gd'    $$7$ 8$ H$ If   a$gd'  
    !	  1	  2	  3	  4	  5	  6	                                      O            I            I            I            I                    $If      kd	"  $$If   l             \ T$*                                                                 
t  0                                6                                                    4   4 
l a  ytJx   $$If   a$gdb  6	  7	  8	  9	  :	  ;	  [            U            U            U            U                                                                                               $If      kd"  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  ;	  <	  =	  >	  ?	  @	  [            U            U            U            U                                                                                               $If      kd#  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  @	  A	  B	  C	  D	  E	  [            U            U            U            U                                                                                               $If      kd[$  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  E	  F	  G	  H	  I	  J	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd%  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  J	  K	  L	  M	  N	  O	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd%  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  O	  P	  Q	  R	  S	  T	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd&  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  T	  U	  V	  W	  X	  Y	  [            R            R            R            R                                                                                       	  $If   gdBD4    kdk'  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  Y	  Z	  [	  \	  ]	  ^	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd/(  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  ^	  _	  `	  a	  b	  c	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd(  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  c	  d	  e	  f	  g	  h	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd)  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  h	  i	  j	  k	  l	  m	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd{*  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  m	  n	  o	  p	  q	  r	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd?+  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  r	  s	  t	  u	  v	  w	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd,  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  w	  x	  y	  z	  {	  |	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd,  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  |	  }	  ~	  	  	  	  [            R            R            R            R                                                                                       	  $If   gdBD4    kd-  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  	  	  	  	  	  	  [            R            R            R            R                                                                                       	  $If   gdBD4    kdO.  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  	  	  	  	  [            O            F                                                                                                 	  $If   gdBD4   $$If   a$gdb    kd/  $$If   l             \ T$*                                                                    
t  0                                6                                                    4   4 
l a  ytJx  	  	  	  	  	  	  	  	  g            b            b            b            \            \            T                                                            $If   K$  $If      gdBD4   kd/  $$If   l             0 $* V%                                 	  
t              0                                6                            4   4 
l a  p            ytJx  	  	  	  	  	  	  	  
  )
  *
  +
  -
  .
  0
  1
  3
  4
  6
  8
  =
  >
  A
  B
  E
  F
  G
                                                                                                                                                       h$  CJ aJ  h< CJ aJ  hb hBD4 CJ aJ  h9>(  j    h9>( UhBD4  hg0 hJx CJ aJ  hg0 hBD4 CJ aJ  hBD4 h=& CJ  aJ   hb hBD4 CJ  aJ   hg0 hJx CJ aJ  hxE hJx CJ  aJ   hJx CJ  aJ  	  	  	  	  	                                      '                  h  kd71  $$If   l              * +    
t  0                                6     4   4 
l a  ytb   $If    i  kd0  $If   K$L$l               &* !*    
t  0                                6     4   4 
l a ytxE  	  	  )
  *
  ,
  -
  /
  0
  2
  3
  5
  6
  7
  8
  B
                                                                                                                                                                                                                                                                                                                                                                                     $$If   a$gd$   $If     gd    $a$gdBD4     B
  C
  D
  E
  F
  G
                                                                                                                                                                                                                                                                                  g  kd1  $$If   l F D* X                 X                 X                
t    6                                      4   4 
l a  ytb  6 &P 1h:pQ= / =!"#$%                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Z!  D d n n   
            ((                                 B   
      
  S    A                      b    "UJE"jq       D       n   "UJE"jqPNG

   IHDR   n   n      PLTERRRZZZccckkksss{{cBB{JJs))  9        R   kcs ! 9! Z!1 {)B) ƵcRJ{B)1 ֥9 J R ƜJ kRkZ9c9{1 ZB1{99 ƄJk)Jk ck罔k{Jք1cc ZJZ  BZ9{!Z1 s{Z{cB)ք9! {Z { ֭Ƅ{ΜJ B9)cƌsBkΥRR{Z {R  sε{Μ)BƔ{ J)sƭkcJcΜ  ֔k k{  B9 sc Jֽ { RRBssJ))RRkk  1 { k{ Rk BZ !1  !c ckkBJJsk1!199ZkR{9{kRΌRsB9Rs{Z)kB {sk1Z){!kZ)Rcc{kޥ cR Rc BޔZk!1R)Bs!9k JRZkk{!cZk!BJZ)B 1΄ 9cs1 !祥99J)    1  c       ZJR9kcB{9 RB)BRƥ{9ck 1{ !1ckc)1   1T   bKGD   cmPPJCmp0712   H s  IDAThCz|Sڴgs	@<h=)..@+9QÕuM*TWZI~Nn9U.H7;l>U":kR777{=M5=F^y^;EK(k]-By|\ :ΓL_;R	Q(XSX1]&U.{gJ$.nQ?qHU<|>r}D?+KqSl_Jኙ9lu_FusRn[)N'(÷ѽH\ C{lM ,j2m=<RrKvx'.?6~Κs.
dq]9B0EX)K:WF0*%;7Mq{Vdo/ƸQ5rynعzR]?}HRGRc z+Ex%k3=b-N|c_Z-mK.fz>cc$D+A7^<o26]QI1=}Id殘dٲK].mg0p۩vsn/Kp)6UBS[ދ'dttufZ#&kbM=mx@k(@^`.̤^W`6Ur]HCP(M'oVI/`B@!N4iT6rͅXϺ2Vy ͪMM̵SM{A8}2+n	D=HVIաMc}RA?muosZ](rrdL|mW3Sl\|ʿ|g4\2xZ~N;.?
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t  0                                65 !*/ a ytxE  $$If     !v h5 +#v +:V l 
t  0                                65 +/ ytb X $$If     !v h5 X5X5X#v X:V l 
t    65 Xytb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ^                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               2                     0  @  P  `  p                   2  (         0  @  P  `  p                      0  @  P  `  p                      0  @  P  `  p                      0  @  P  `  p                      0  @  P  `  p                      0  @  P  `  p      8  X        V  ~     _HmH	nH	sH	tH	    R  ` R   '    N o r m a l      ) B*CJ OJ QJ _HaJ mH	ph    sH	tH	                   D A  D          D e f a u l t   P a r a g r a p h   F o n t     R i@ R          T a b l e   N o r m a l      4 
l 4   a      ( k  (           N o   L i s t         4    4   Q=    H e a d e r      !   4  @ 4   Q=    F o o t e r      !   j   j   Q=   
 T a b l e   G r i d   7 :V 0                                   H   "H  +    B a l l o o n   T e x t      CJ OJ QJ ^J aJ X  1X   +    B a l l o o n   T e x t   C h a r    B*CJ OJ QJ ^J aJ ph     PK     !         [Content_Types].xmlj0Eжr(΢Iw},-j4	wP-t#bΙ{UTU^hd}㨫)*1P'	^W0)T9<l#$yi};~@(Hu*Dנz/0ǰ$X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?   PK     ! ֧   6     _rels/.relsj0}Q%v/C/} (h"O
= C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/Seе   PK     ! ky         theme/theme/themeManager.xmlM
 @}w7c(Ebˮ CAǠҟ7՛KY,e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+&
8   PK     !   P     theme/theme/theme1.xmlYOo6w toc'vuر-MniP@I}úama[إ4:lЯGRX^6؊>$!)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu	gZo~ٺlAplxpT0+[}`jzA V2Fi@qv֬5\|ʜ̭NleXdsjcs7fW+Ն7`gȘJj|h(KD- dXiJ؇(x$(:;˹!I_TS1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ
x}rxwr:\TZaG*y8IjbRc|XŻǿI
u3KGnD1NIBs
RuK>V.EL+M2#'fi~Vvl{u8zH
*:(W☕~JTe\O*tHGHY }KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4=3ڗP
1Pm\\9Mؓ2aD];Yt\[x]}Wr|]g-
eW)6-rCSjid	DЇAΜIqbJ#x꺃6k#ASh&ʌt(Q%p%m&]caSl=X\P1Mh9MVdDAaVB[݈fJíP|8քAV^fHn-"d>znǊ	ة>b&2vKyϼD:,AGm\nziÙ.uχYC6OMf3or$5NHT[XF64T,ќM0E)`#5XY`פ ;%1U٥m;R>QDDcpU'&LE/pm%]8firS4d7y\`JnίIR3U~7+׸#mqBiDi*L69mY&iHE=(K&N!V.KeLDĕ{D	vEꦚdeNƟe(MN9ߜR6&3(a/DUz<{ˊYȳV)9Z[4^n5!J?Q3eBoCMm<.vpIYfZY_p[=al-Y}Nc͙ŋ4vfavl'SA8|*u{-ߟ0%M07%<ҍ    PK     ! ѐ     '   theme/theme/_rels/themeManager.xml.relsM
0wooӺ&݈Э56?$Q,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{ P8g/]QAsم(#L[    PK-      !                       [Content_Types].xmlPK-      ! ֧   6               +  _rels/.relsPK-      ! ky                     theme/theme/themeManager.xmlPK-      !   P                 theme/theme/theme1.xmlPK-      ! ѐ     '             	  theme/theme/_rels/themeManager.xml.relsPK      ]  
    <?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<a:clrMap xmlns:a="http://schemas.openxmlformats.org/drawingml/2006/main" bg1="lt1" tx1="dk1" bg2="lt2" tx2="dk2" accent1="accent1" accent2="accent2" accent3="accent3" accent4="accent4" accent5="accent5" accent6="accent6" hlink="hlink" folHlink="folHlink"/>    G    >                 	                                 	  G
             6	  ;	  @	  E	  J	  O	  T	  Y	  ^	  c	  h	  m	  r	  w	  |	  	  	  	  	  	  B
  G
        	   
                                                              8                         @                           0    (    	                    
          B    
        S              	   ?              )  *  *  ,  ,  -  -  /  0  2  3  5  6  E  H                     *  *  ,  ,  -  -  /  0  2  3  5  6  E  H                    =   [   ]                     (  0  )  *  *  ,  ,  -  -  /  0  2  3  5  6  8  A  H                                 =   [   ]   )  *  *  ,  ,  -  -  /  0  2  3  5  6  =  >  ?  A  E  H                                           $  Q= W =& Q( 9>( BD4 cE oE xE *Z b Ym 0r Jx }  ' 	9 g0 + < W p \     *  ,         @       G  p   @      U n k n o w n                                   G  *                  T i m e s   N e w   R o m a n   5                       S y m b o l   3.  *                  A r i a l   5.  * a               T a h o m a   A     B               C a m b r i a   M a t h   "  1   h    kJfkJfkJf     R             R            r!                                                                                                                                                                                                                                                                                                                           4              )  )                                                                       2Q                           HP    	?    BD4   2                     !                             x   x                              E l i z a b e t h   T a t t e r s h a l l  S t e p h a n i e   L .   R o e t t g e n                                                                                                                                                                                                      Oh +'0                                                       	   8     D  
   d     p     |                                                          Elizabeth Tattershall                              Form Shell Missouri Seal.dot          Stephanie L. Roettgen         2         Microsoft Office 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                                                                  !   "   #   $   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   8   9   ;   <   =   >   ?   @   A   B   C   D   E   F   G   H   J   K   L   M   N   O   P   R   S   T   U   V   W   X   [   R o o t   E n t r y                                                 	           F             l]*]          D a t a                                                         
                                         2      1 T a b l e                                                                                                :   e      W o r d D o c u m e n t                                                                                        8>       S u m m a r y I n f o r m a t i o n                           (                                     I           D o c u m e n t S u m m a r y I n f o r m a t i o n           8                                        Q           C o m p O b j                                                                                           y                                                                                                                               
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