Attachment TM onthly Client Case List Revised 9182012 by 3YMS37H8

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									                                                                                  OS/MLSP-13-001-S
                                                                                      Attachment T
                                 MARYLAND LEGAL SERVICES PROGRAM
                                     MONTHLY CLIENT CASE LIST


Contractor Name:
Jurisdiction:
CINA/TPR                                              or       APS/APGRB
Invoice Period (Month/Year):

                                   Petition Number
           Case Name                                                        Date of   Next Hearing
                                    or Client Court   Hearing Type   Rate
 (First Initial and Last Name)                                              Hearing      Date
                                          ID #




____________________________________________________________________           __________________
Project Manager’s Signature                                                    Date

								
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