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Attachment I. .4 <br />{page -2, of 3) <br />ISr-hoof Yearr. Novcmbar 15, 2003 - No-mmlocr 14, 2004 1 <br />SpeCial Note.' I�vr NDV-amf= 15, 2002 basc year the t)mrd capacities as pan of Scho*l F—acilitzim TzSk <br />�: c mvivu.; aid 200.3 School Representative TocimicO, A&,iw.yCb=ni*=-RcperL <br />by 0) the Sch,ao, CJ P ov (2) an am=dcd vemium of this form - , is =Tulmd ky &x EXX-C- <br />Juttificatiort.. <br />Mernbershfp Certification: <br />Supedritendent Date <br />ROCC Chah 57e7 <br />e <br />