From: Jennifer Cline

Sent: Mon Aug 25 11:41:40 2014

To: 'matt.k@wcearhart.com'

Subject: Adding Family Members

Importance: Normal

Attachments: 20140825111446620.pdf; AddLance& BtoIns.pdf;

Hi Matt,

Attached is the Enrollment Form for adding Lance and Briannah, including their birth certificates.

I do not have their insurance coverage from their stepfather Mike Dedona, however I do know that it is also Regence Blue Cross Blue Shield.

Thanks,

Jennifer Cline, P.E.

City of Molalla

Public Works Director

O: 503.829.6855 Ext. #218

F: 503.829.3676

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