‘Kestbonu'tal af Hilendane Spek
oHf09/ 808
03-03- geal thre 08-b-aa8/
ATTENDANCE REPORT FORM
132"
AU
Facility Name: _ Loving Care Chiristian D
ing Addrass: 10306 Silkwood Cou:
Provider #:
Report Month:
Licensed for 150382 (Hof children} rach an eqpanaton it areias
City, Zip Code:
BAN SS
SST Ne
oa ——
Karsyn Whitlow
7 Z Pee
Riley Whitlow a Pps
oT | | |
| |
Daily Total L | | |
Under penalty of ay of unsworn falsification. | cerify that t on this form is true and correct to the best of my knowledge.
Eni — 8/54 )acaf
OS
we__ite | -
(614 (06-2828) rev. 0310Chita Ca
REGISTERED AND LICENSED INVOICE
State of Maryland
‘cholarship (CCS) Program
hy DH F193
Prather
CCS Central 2
Invoices
PO BOX 346022
Bethesda, MD 20
Loving Care Christian Development Center
10306 Silkwood Court
Springdale, MD 20774
132700 (301)983-0554
Center evel 3 08/02/2021-0815/2021 =
T23456789W1 DI
CREE ESECELE EEE
Riley Whitlow
|
Ta Williams sient] —¥ wt woth Se 8
(le Oe eecrccere ree ee
Txa Williams Teo] _N 5 "Th =
| 7 . =
sine] N | oN oT UW on OF isos |
Karsyn Whitlow
Dominic Haywood
TPM
N o "Th .
M vot oS
N u w ThPets (DH TPB
Anita. Prathet
fonerals Office of the Departnent of Haran
Mf sacl services, the Child Cate Admnisabon, af my employer
ly fied 0
(0 FeCIoW any ovo lag
MSDE CCSCTSTRAL 90E8151Pets (DH Pps
Anita. Prathet
Therchy athowize the Iapcton
maintained by 2 laeal depattmce? of socal servic
fivestigaing whether U have knowingly gen false wh
etgity to be pad
1 years of ae
MSDE-CCSCY STRAL 9DE851