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July 28, 2017NAME TITLE ADDRESS CITY STATE Zippier Tribal Chair and Health Director: RE:Notice of Intent to Submit a Renewal Application for the Section 1915(b)(4) Healthy Kids Dental Waivers letter,
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Start by writing the month, which is 'July'.
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Next, write the day, which is '28'.
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Finally, write the year, which is '2017'.
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After completing the above steps, write the name on the specified line or space provided.

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The July 28 name title refers to a specific form or document that needs to be filled out.
Individuals or entities specified by the governing law or authority are required to file the July 28 name title.
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The purpose of the July 28 name title is to collect specific information as required by law or regulation.
The July 28 name title typically requires information such as names, dates, amounts, or any other relevant data.
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