ࡱ                >  	               a          d          `    	               ,5   bjbj΀                  	 7F                                                                                                                                                 <   ?             f    r  E      E      E      E      4       d   4  4   4     6      6      6      6      6      6               6  -                         h                      4      4      h      h      6                          E              E     c                       h           E            E      4                                                                    h      4                                                                                                                E          P7Ed              x                         y  0               ;            ;                                                                                    ;                         h      h            h      h                                      h      h      h      6      6                                                                            h      h      h            h      h      h      h                                                                                          ;      h      h      h      h      h      h                                                              h      h      h        	    :     	                                                                                                                                                                                                                                                                                                                                                                                                                                        D E P A R T M E N T   O F   S O C I A L   S E R V I C E S  C H I L D   C A R E   R E I M B U R S E M E N T   W O R K S H E E T   C H I L D   D C N     F O R M T E X T            C H I L D   N A M E     F O R M T E X T             P A R E N T   D C N   /   R E S O U R C E   P A R E N T   D V N     F O R M T E X T            P A R E N T / R E S O U R C E   P A R E N T   N A M E     F O R M T E X T             C H I L D   C A R E   P R O V I D E R   D V N     F O R M T E X T            C H I L D   C A R E   P R O V I D E R   N A M E     F O R M T E X T            S E R V I C E   M O N T H   /   Y E A R     F O R M T E X T             A C T U A L   U N I T S   I N   C A R E   R E C E I P T   A M O U N T    F U L L   T I M E  H A L F   T I M E  P A R T   T I M E  H O L I D A Y  A B S E N C E  $    F O R M T E X T             D A Y T I M E     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T              E V E N I N G / W E E K E N D     F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T               F O R M T E X T              A U T H O R I Z I N G   D S S   D E S I G N E E   S I G N A T U R E   &   D A T E :   S I G N A T U R E   O F   P E R S O N   E N T E R I                                           	  	  	  	  	  F	  H	  \	  ^	  `	  j	  l	  n	  	  	  	  ƹƹwkƹ[ƹ   j#  h4! hgP 5U h4! hO 5CJ aJ j"  h4! hgP 5U h4! haA 5#j    h4! h6 5UmH nH uj"  h4! hgP 5U h4! hSA 5j    h4! hgP 5U h4! h3 5CJ aJ h4! h3  h4! h3 5CJ$ aJ$ h4! h3 5$j    h4! h4! CJ UmH nH u#     @            	                                      O                                                                              }  kd!  $$If   l       <0 8 :                 0                
t  0                                      6                          4   4 
l a  yt4!    d    $If   gd4! l                  $d    $If   a$gd4! l                	  	  F	  n	  	  	              j            j            j            j                                                                                                                                          d    $If   gd4! l               }  kd#  $$If   l       0 8 y                 '                
t  0                                      6                          4   4 
l a  yt4!  	  	  	  	  	  	  	  	  	   
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t  0                                      6                          4   4 
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t  0                                      6                                      4   4 
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t              0                                      6                          4   4 
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t  0                                      6                                                                                      4   4 
l a  yt4!          4  \                                                                                                                                                                                                                                                                                                                                                                                          $d    $If   a$gd4! l                  d    $If   gd4! l                        
      "  $  &  0  2  4  6  J  L  N  X  Z  \  ^  r  t  v                                    ɹɩəɍvfj0-  h4! hgP 5U j,  h4! hgP 5U h4! hSA  h4! hSA 5CJ aJ j=+  h4! hgP 5U j*  h4! hgP 5U jU*  h4! hgP 5U h4! hSA 5#j    h4! h6 5UmH nH uj    h4! hgP 5U j)  h4! hgP 5U(    !                                                            kd+  $$If   l 4      y֞  (08=	                                                                                                                       
t  0                                      6                                                                                      4   4 
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t  0                                      6                                                                                      4   4 
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t  0                                      6              4   4 
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t  0                                      6                          4   4 
l a  yt4!  ~2  2  2  2  2  2  H            0            0            0            0                      d    $If   gd4! l                 kd{2  $$If   l 4       F j08                ?                                	   
t                    0                                      6                                      4   4 
l a  p                  yt4!  2  2  2  3  3  H            0            0            0                                       d    $If   gd4! l                 kd3  $$If   l 4       F j08                ?                                	   
t                    0                                      6                                      4   4 
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t                    0                                      6                                      4   4 
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t  
      0                                      6              4   4 
l a  p
      yt4!  4  4  4  ,5              }            {                                                                                                                                                                                                                 $a$gdSA  y  kd36  $$If   l        89                	 
t  
      0                                      6              4   4 
l a  p
      yt4!  5 1h0:p3 = /!"#$%                                                                                                                                                                                                                                                                                                                                                                                                                                                                           !  D d                    rrg                                 j   
      
   F      A      ?                 P i c t u r e   1           b    "UJE"jq       D     #  n   "UJE"jqPNG

   IHDR   n   n      PLTERRRZZZccckkksss{{cBB{JJs))  9        R   kcs ! 9! Z!1 {)B) ƵcRJ{B)1 ֥9 J R ƜJ kRkZ9c9{1 ZB1{99 ƄJk)Jk ck罔k{Jք1cc ZJZ  BZ9{!Z1 s{Z{cB)ք9! {Z { ֭Ƅ{ΜJ B9)cƌsBkΥRR{Z {R  sε{Μ)BƔ{ J)sƭkcJcΜ  ֔k k{  B9 sc Jֽ { RRBssJ))RRkk  1 { k{ Rk BZ !1  !c ckkBJJsk1!199ZkR{9{kRΌRsB9Rs{Z)kB {sk1Z){!kZ)Rcc{kޥ cR Rc BޔZk!1R)Bs!9k JRZkk{!cZk!BJZ)B 1΄ 9cs1 !祥99J)    1  c       ZJR9kcB{9 RB)BRƥ{9ck 1{ !1ckc)1   1T   bKGD   cmPPJCmp0712   H s  IDAThCz|Sڴgs	@<h=)..@+9QÕuM*TWZI~Nn9U.H7;l>U":kR777{=M5=F^y^;EK(k]-By|\ :ΓL_;R	Q(XSX1]&U.{gJ$.nQ?qHU<|>r}D?+KqSl_Jኙ9lu_FusRn[)N'(÷ѽH\ C{lM ,j2m=<RrKvx'.?6~Κs.
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=&U:d_US0]?D	KVbH^q6I0O9kq%vgYjJw7Lկ>U|;}R*N/^ v!)uBU!rx`,4XWLj;q}#̙<UhWQ8}ÂȅRFƮ	͖!8vt|?'$7.6ގ _lGJ
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-34-(/	x9 l^0{.挭V]	6sdB8m#4*\wH'GO[<1EۤY?	Ly'=N7 nW (avlpڣuM.C<Ftv*o3䞌C2eG_RmG%PA툺Mt3|v[c4ïvyzf>u`h`BZ*A
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qި;T1O7(*Q~-5%'s"!tda%eV`nc!8?hFyۃuZL]6W"jݮJPQmWu.$cR);X;ඬ迍?,qw@IѠZ'L㷋֭^pDjnjPjA%pȭf3V&
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Xdw
looaj.>`ܠ2DD>w 5u&uD~31ry@O
wBWcrM/d鄒A3ՀODLi]=SUnMW1ɞ"	0lsuCT?uτλ_,l@3HG}|ђdS~{ ԭ:lHw8\S]N؁΂ >rX-:ˈ- ~W4Xn	AJE[eRcb]O䚻ӧO1mꌩ].3Gx[-*Q/aY
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l]ߞHt@}'y Z\ﰳvEи9Ã!`#Qw<O
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 ZZKaE牤\94Y1<CcvMWW1{:;Qip,\ky*cgg6	mJN=.[&YcDDdM&D_CSRl5uF>i<9Ԟ6?wwy2Lv;rY5A\M#Z,t^&bx[|d+QST8aa֐ҸCmjDM$2"(S|67C0\Q-igd+ܽl1$r5>&ׅ+ݘn.zxZ>9:&9VB!}#Dm=FQf]dلů\!Bi=kxC ;#UY$]4I?^ޢw/U674:.F<y"[@~叝i@fj'oL7vI!9>2y<j5fswJձdȧzkL}Ն=bjA7]Jo=iơm{ec<&H\ۀOt5}	]DRȢkon6LM3ZB۠&ɪjمAD=eZHi.fHvTB,n[:z.4B2+:XiT:|5mjAY8u3Mpi8uE{ڋ~Q[i bLuZT,}Z;C}]!5E<MY/'3KW??y9_>̆&bhsGoIgR{ukt_V9^70fGV# XMv:~ZOک{a_hST",Gh$p.t~]V2	CFT^u;HU[eGڮ]rי3kx'I  $9ZԛOqI<dtο.d5=ٚoQ#--d5K~kFpM48)-n }&|~`'|n9G*jRqԙkn̶vgP4.(Qf~)8t7>mYpo;@DPc~^hҳ#)4K㣠W\y&!k$'+eT0>-kA@YJe	)T{ (=dmby]猲AuzpyvϣF[OXA&qsƬl`&a^W0;( )@'M$M*3yNY9TI\g*;_|5a,K>:!rxUSwNwSdGW`^e&Lu쪖I_]0Qצ2rCc-{Da *W*A$}폍46ufzcޡ)L{(.iL4p<d_eEyƂ	3S>A|"G7
Ad GQe/HN.W*+	z{ox9C	pz3H9S%@+gɱj1J^MB"S5)X/9xubΫ':R:B5F@&?
S1eJE`,}=p\rY[Z_ty$sI_ueeؔ<($S#b%<K'#5P,)syO|@hLYYk1nGϪTתXOшg3GKlؤǌ>hZ$`&SsXfʶM;
#rG??R_cC0ɌG*L&:(_j4ʊS2%հLii}irb>ҔڗcGM`lX=`jj,[ 1&>R<钷V* RRJ++38AWm|7_mnL-/+;3LɔM);PQ>%eʔjVV [.c.KƧzm'0**A0R5>0;T9OrIX=}cط՗#iŉd    IENDB` $$If     !v h5 :50#v :#v0:V l <
t  0                                      65 :50yt4! t   D                                                                    T e x t 1                           t   D                                                                     T e x t 2                            $$If     !v h5 y5'#v y#v':V l 
t  0                                      65 y5'yt4! t   D                                                                    T e x t 3                           t   D                                                                     T e x t 4                            $$If     !v h5 y5'#v y#v':V l 
t  0                                      65 y5'yt4! t   D                                                                    T e x t 5                           t   D                                                                     T e x t 6                              D                                                                    T e x t 7        M / d / y y y y                    $$If     !v h5 y55#v y#v#v:V l 
t  0                                      65 y55yt4!  $$If     !v h5 15#v 1#v:V l 	  
t              0                                      65 15p            yt4! t   D                                                                     T e x t 9                            $$If     !v h5 =	55555 5#v =	#v#v#v#v #v:V l 4
t  0                                      6+,5 =	5555 5yt4! t   D                                                                    T e x t 8                           t   D                                                                    T e x t 8                           t   D                                                                    T e x t 8                           t   D                                                                    T e x t 8                           t   D                                                                    T e x t 8                           	$$If     !v h5 =	55555 5#v =	#v#v#v#v #v:V l 4y
t  0                                      6+, ,5 =	5555 5yt4! t   D                                                                    T e x t 8                           t   D                                                                    T e x t 8                           t   D                                                                    T e x t 8                           t   D                                                                    T e x t 8                           t   D                                                                    T e x t 8                           $$If     !v h5 =	55555 5#v =	#v#v#v#v #v:V l 4
t  0                                      6+, 5 =	5555 5yt4!  $$If     !v h5 9#v 9:V l 
t  0                                      65 9yt4! v   D                                                                     T e x t 1 0                            $$If     !v h5 15#v 1#v:V l 
t  0                                      65 15yt4! t   D                                                               e     C h e c k 2                         t   D                                                               e     C h e c k 3                         $$If     !v h5 5?5#v #v?#v:V l 4 	   
t                    0                                      6+ , 5 5?5p                  yt4! $$If     !v h5 5?5#v #v?#v:V l 4 	   
t                    0                                      6+ , 5 5?5p                  yt4! $$If     !v h5 5?5#v #v?#v:V l 4F 	   
t                    0                                      6+ , 5 5?5p                  yt4!  $$If     !v h5 9#v 9:V l 	 
t  
      0                                      6, 5 9p
      yt4!  $$If     !v h5 9#v 9:V l 	 
t  
      0                                      6, 5 9p
      yt4!                                                                                                                                                                                                                                                                                                        j                                         6  6  6  6  6  6  6  6  6  v  v  v  v  v  v  v  v  v  6  6  6  6  6  6  >  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6     6  6     6  6  6  6  6  6  6  6     6  6  6  6  6  6  6  6  6  6  6  6  h  H  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6  6    6  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  ~      OJ PJ QJ _HmH	nH	sH	tH	    J  ` J   wc    N o r m a l      d   CJ _HaJ mH	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       0 T a b l e   N o r m a l      4 
l 4   a      ( k  (        0 N o   L i s t         t `  t    3 
 T a b l e   G r i d   7 :V 0                                       d      R   R 	 - 0 B a l l o o n   T e x t     d     CJ OJ QJ ^J aJ N  N  - 0 B a l l o o n   T e x t   C h a r    CJ OJ QJ ^J aJ 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"/>        F  
    	  
      `0  3  ,5     
                      	  	  
     p          r  t  n0  ~2  2  3  4  4  ,5     	                                             !   "   N   Z   `   m   y                               -  9  ?  V  b  h                            &  ,  .  :  @  T  `  f  h  t  z  |                  #  /  5  _  o        FFFFFFFFFFFFFFFFFFFG G   L                         #    A    A    @                           0    (    	                    
          B    
        S              	   ?              T e x t 1  T e x t 2  T e x t 3  T e x t 4  T e x t 5  T e x t 6  T e x t 7  T e x t 9  T e x t 8  T e x t 1 0  C h e c k 2  C h e c k 3 N   n            .  V      $  `                                  	   
      a              @  i      6  p                                                [~ (3 r 4! - )W5 96 aA SA AC dC =J kS qW ~X wc ko /z N| ) W 3 U :V gP O f l OF 6  y                @(               p      p  
    p  0        U n k n o w n                                   G  * Ax 	             T i m e s   N e w   R o m a n   5                       S y m b o l   3.  * Cx 	             A r i a l   7.    @	             C a l i b r i   5"                        T a h o m a   A                         C a m b r i a   M a t h   "  1   h    +F+F"&               
            
                                                                                                                                                                                                                                                                                                                                n  0                                                                                        2                           HX    	 	$P    4!    (                     !                             x   x                    " C h i l d   C a r e   R e i m b u r s e m e n t   W o r k s h e e t        N E U N O N H  N E U N O N H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Oh +'0   `                                   	            
             (     4     @     H     P     X          $   Child Care Reimbursement Worksheet        NEUNONH       cd167         NEUNONH       1         Microsoft Office Word   @           @    \Lc@    )d@    )d                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ՜. +,0   0        h      p                                                                      (   Missouri Department of Social Services     
                                                     #   Child Care Reimbursement Worksheet            Title                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  	   
                                                                      !   "   #   %   &   '   (   )   *   +   ,   -   .   /   0   1   2   3   4   5   6   7   8   9   :   ;   <   =   >   ?   A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   Q   R   S   T   U   V   W   Y   Z   [   \   ]   ^   _   b   c   f   R o o t   E n t r y                                                 	           F            P7Ede          D a t a                                                         
                                     $   6      1 T a b l e                                                                                              @   ;      W o r d D o c u m e n t                                          
                                              7F       S u m m a r y I n f o r m a t i o n                           (                                     P           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                                        X          M s o D a t a S t o r e                                                                  EdP7Ed            M Q W 3      U K Y    F  P  Z I  = =                 2                        EdP7Ed            I t e m                                                         
 	                                                  P r o p e r t i e s                                                                                      U       C o m p O b j                                                                                            
   y                                                                                                                                                	      <b:Sources SelectedStyle="\APA.XSL" StyleName="APA" xmlns:b="http://schemas.openxmlformats.org/officeDocument/2006/bibliography" xmlns="http://schemas.openxmlformats.org/officeDocument/2006/bibliography"></b:Sources>                                        <?xml version="1.0" encoding="UTF-8" standalone="no"?>
<ds:datastoreItem ds:itemID="{B39D0531-F3D8-42A1-98EE-5F459CFE5923}" xmlns:ds="http://schemas.openxmlformats.org/officeDocument/2006/customXml"><ds:schemaRefs><ds:schemaRef ds:uri="http://schemas.openxmlformats.org/officeDocument/2006/bibliography"/></ds:schemaRefs></ds:datastoreItem>                                            
  	           F'   Microsoft Office Word 97-2003 Document 
   MSWordDoc    Word.Document.8 9q                                                                                                                                                                                                                                                                                   