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21:T1520,

Client

Baker, P Hannah

(637) 782-1987

Scheduled Date:

07-30-2026 to 07-30-2026

Scheduled Time:

11:00 AM - 11:15 AM

( 0 H 15 Min )

Call Type:

GAPP - Skilled

Client Signature:

✓ Signed

Assessor Signature:

✓ Signed

Actual Date:

07-30-2026 to 07-30-2026

Clock In/Out:

10:52 AM - 10:57 AM

(0 H 5 Min)

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