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Signature Block - Kansas

Signature Block Form. This is a Kansas form and can be used in Adoption And Safe Families Act 3rd Judicial District (Shawnee County) Local District Court .
 Fillable pdf Last Modified 7/20/2005
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APPROVED: ______________________________________ _____________________________________ Guardian ad Litem (Signature) Assistant County Attorney (Sig nature) _____________________________________ _____________________________________ Guardian ad Litem(Prin ted Name ) (S. Ct. No .) Assistant County Attorney (S. Ct. No.) (Printed Name) ______________________________________ _____________________________________ Attorney for Mother (Signature) Attorney for Father (Signature) ______________________________________ ______________________________________ Attorney for Mother (Printed Name) (S. Ct. No .) Attorney for Father (Printed Name) (S. Ct. No .) Copy of this Order to Counsel and ____ SRS ____ _____________ ____ C.A.S.A. ____ Interested Party ____ Interested Party ____ Other ____ Other
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