WPC" )ЯM;Kr1ROZA OUzʨ͡^SjR߈GOB2.Kٕǒתvm'k\2ot"Mt/>&K?[yˋݒEZO@!Epĩ(`mq]RO6yu4gztʖḞ aR ZߜKWH*"S ֢>T[D٢ʬ6r.%ICc՟/Ш/8I~ 9'Kq@f118B3wa%z*w˞4ufj=RJCƃ_CS:AլD8vm]#;"eK#4Lԟbw.:A?f|ۼ(jXº T/$.;H a)¯6$;‡܁Hʧ.?K'C"#U.N % 0:^ 3w?fCaEfYa[4o mfafafaNfa BHP LaserJet 8150 PCL 60(9 Z6Times New Roman RegularX($USUS.,1 TABLE ATABLE B|0:i+003|xUTABLE CTABLE DTABLE ETABLE F d !USUS.,  _*d dd Xdd Xdd X(#(#, dd , dd ,dd +  $ $kXX  StateofKansas d DepartmentofSocialandRehabilitation  Services P ChildrenandFamilyServices#XDXk\# >  {  ~XXD#XDX~}#q XXD't XhXX'NOTICEOFINTENTTODISCLOSERECORD  x   ^lk\CFS0300 d January2005  Page1of1#\^lk#"(x 0 "X*dd dd dd dd %%,'dd ,wdd ,dd ,dd ,dd , dd ,dd ,dd , dd +  ' l  l 'XDXDateofMailing: 7!&!   7#XXD# 7!&  ! 7/ 7!&! ! 7 7!& ! 7/ 7!&! ! 7 0& ! 0 9/!  9XDXLocal_SRS_ԀOffice: 7!&!  7#XXD#(  ! (   F     N   * ! d d{dd 'dd wdd dd dd )dd dd dd Z dd %%,dd ,8dd ,fdd ,Xdd ,dd ,dd ,dd ,dd ,dd ,dd ,[dd +  '!L L  '&%TO: 7!*! !  7 :!-  ! :FROM: :!-$ !  : .$  ! . 7- l 7TELEPHONE#: 7-$ l  7 7- l  7ADDRESS:   Street/P.O.Box 7-$`  7 7-  7ADDRESS:   Street/P.O.Box#%&; #&% 7-$` ! 7 3) " 3City 4*! # 4 3) $ 3State#%& #&% 0&! % 0 0& & 0#%&#&%City#%&ӕ#&% 4*! ' 4 3) ( 3State#%&#&% 0&! ) 0 5+ * 5#%&Ӊ#&%ZIP#%&@#&% 4*!8 + 4 3)8 , 3ZIP 8 - #%&Ӆ#&% 4*!. 4 0&$8 /    0**!d ddd 8dd 8fdd fXdd Xdd dd dd dd dd dd [dd [ ! %%*,dd , dd ,dd +  '/ '#%&F#˷ _SRS_Ԁhasreceivedarequesttodisclosethecaserecordof 7!&!F0  7XDX ˷ 0&F1! 0. 9/!F2 9 9/!3  9(childsname) 9/!4" 91'%5   1*!dddd  dd dd !%%, dd ,dd ,dd +  '5 '#XXD#˷ Therequestwasmadeby 7!&! Z6  7# ˷#XDX 0& Z7! 0. 9/! Z8 9 9/!9  9(NameofIndividualand/orAgency) 9/!:" 91'%;   1#XXDa#   F     N      V   *!dd dd dd dd !%%,"dd +  j<j ˷ Per_KSA_Ԁ381507(f),_SRS_Ԁisrequiredtodisclosecaserecordsofchildabuseandneglectresulting = inafatalityornearfatalityofachild._SRS_Ԁisrequiredtonotifyanyindividualidentifiedinthecase > thatabovementionedchildsrecordwillbedisclosed. ? Uponreceiptofthisnotice,youhavetherighttofileamotionrequestingthecourttopreventthe A disclosureoftheserecords.Thecourtisrequiredtoconsidercertainfactorsindeterminingifthe B recordsshouldbereleased.Thesefactorsarefoundin_KSA_Ԁ381507(f).  C Ifyouwanttokeepthefileclosed,amotionmustbefiledwiththecourtwithin7days,excluding "E weekendsandstateholidays,ofthisnotice.Ifamotionisnotfiledwithin7days,_SRS_Ԁisrequired #F toreleasethecaserecord. $ G # ˷#˷ Ifyouwanttoreviewtherecordyourselforhavequestions,pleasecontactthepersonlistedabove.# ˷# &"I ('#J  (   F ˷ # ˷ #˷ Ԁ# ˷ # ^*%L cc:CFSCentralOffice