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10/28/2014
I
WATERFORD SCHOOL DISTRICT
1150
ATTN:
SCOTT
LAKE ROAD
PAULA BRAGAN
WATERFORDr
MI
48348
Dear
TO WHOM IT
MAY CONCERN:
This clearance has been performed by the Michigan Department of Human Services concerning
JENNIFER
L. -FOWLER
. The results of this clearance indicate that as of 10/28/2014
the following results should be noted: (Check only one box).
t2:1
L. -FOWLER
County on (date)
To request amendment or removal of your name from the Child Abuse/Neglect Central Registry you
must make a request in writing to the county that originated the listing. If you have further questions
regarding your case, please contact the local DHS office that originated the listing
at
"
This information is confidential as described in the Michigan Child Protection law and may only be
shared with those outlined in the Child Protection law (MCl 722.627- 722.627j).
Sincerely,
Printed Name:
Phone Number:
Fax Number:
Address:
City. State Zip:
JUANITA
248
248
MCEVILLY
669 7653
668-2784
48390-9906
Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national
origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you
need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known
to a DHS office in your area.
.
DHS-1910 (Rev. 2-11) Previous edition obsolete. MS Word