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Thread-Topic: Response via eform 100009 - VSP Application
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Subject: Response via eform 100009 - VSP Application
Date: Wed, 30 Nov 2016 11:10:26 -0500
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<APP>WORKFLOW
<TEMPLATEID>350</TEMPLATEID>
<PREFIX></PREFIX>
<FIRST>Shelby</FIRST>
<MIDDLE></MIDDLE>
<LAST>Lewis</LAST>
<ADDR2></ADDR2>
<CITY>Rock Hill</CITY>
<STATE>SC</STATE>
<ZIP>29730</ZIP>
<EMAIL>sjoseph@safepassagesc.org</EMAIL>
<PHONE_B>8033293336</PHONE_B>
<ADDR1>104 Oakland Ave</ADDR1>
<TITLE>Volunteer Coordinator</TITLE>
<ORGANIZATION>Safe Passage</ORGANIZATION>
<WFUD_DateHire>09/26/2016</WFUD_DateHire>
<WFUD_County>York</WFUD_County>
<WFUD_Muncipality></WFUD_Muncipality>
<WFUD_JudCircuit>16th Cir</WFUD_JudCircuit>
<WFUD_Employment>Private/Non Profit Organization</WFUD_Employment>
<WFUD_Credentialing>Basic VSP</WFUD_Credentialing>
<ADDL_PEOPLE>
<PREFIX></PREFIX>
<FIRST>Jada</FIRST>
<MIDDLE>B</MIDDLE>
<LAST>Charley</LAST>
<EMAIL>jbcharley@safepassagesc.org</EMAIL>
<ORGANIZATION>Safe Passage</ORGANIZATION>
<PHONE_B>8033293336</PHONE_B>
<TITLE>Exec Director</TITLE>
</ADDL_PEOPLE>
<SUBJECT></SUBJECT>
<CUSTOM1>208.104.168.31</CUSTOM1>
<MSG>

</MSG>

</APP>