Assistance - Template

Site Name:

Address:

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Zip:

Directions:

Section:

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Range:

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Assistance ID:

Staff Assisting:

Program Type:

Contact:

Action Date:

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
1/22/2013	We need your MMP and fees in the next couple days or this matter will be referred. He stated that he had the MMp and fees ready to go in the mail, had just forgotten. He will send and have in our office by Friday 1/18/13. Okay, great!	CINDY MARTENS

Assistance Details:

Field Office Compliance - Assistance