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        <BusinessNameLine1>CASA FOR CHILDREN INC</BusinessNameLine1>
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      <Phone>3048100952</Phone>
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        <AddressLine1>258 Jefferson Ave</AddressLine1>
        <City>Moundville</City>
        <State>WV</State>
        <ZIPCode>26041</ZIPCode>
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    <Officer>
      <Name>Susan Harrison</Name>
      <Title>Executive Director</Title>
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      <DateSigned>2014-02-14</DateSigned>
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        <PersonName>Heidi Kossuth</PersonName>
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        <PersonName>Lisa Hawrot</PersonName>
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        <PersonName>Elisabeth Slater</PersonName>
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