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OKLAHOMA DEPARTMENT OF HUMAN SERVICES Acknowledgment of Pat ernity KLVOHJDOGRFXPHQWHVWDEOLVKHVSDWHUQLWXQGHUNODKRPDODZ Do not sign XQOHVVRXXQGHUVWDQGRXUULJKWVDQGUHVSRQVLELOLWLHVDVHSODLQHG RQWKHEDFN

OKLAHOMA DEPARTMENT OF HUMAN SERVICES Acknowledgment of Pat ernity KLVOHJDOGRFXPHQWHVWDEOLVKHVSDWHUQLWXQGHUNODKRPDODZ Do not sign XQOHVVRXXQGHUVWDQGRXUULJKWVDQGUHVSRQVLELOLWLHVDVHSODLQHG RQWKHEDFN

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