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11 <br />1-1 <br />00 <br />CM <br />o_ <br />O <br />rn <br />d <br />ilk <br />V_ <br />0 <br />ev <br />KINDRED HEALTHCARE, INC. <br />_{{ ATTE-NDDANCE ROSTER <br />Program Title' <br />_ �� ' rogram Length: OV-ni►/1 Date: <br />Location of Program: Center ❑ District ❑ Region ❑ Corporate CE OfferiaQ Jo ❑ Yes - Number of Units: CE Activity Number. <br />Center Narne: � ' Center dumber: <br />R �------� 03 9--) Course Material Attached: $ <br />TrainedFacilitator Name (Print): c_��j > D` Q `` O.2C Signature: Y cid- � <br />Van r <br />■ <br />my srgnatare above Indicates I attended the training program ideni led on this form. <br />RB Rale Based <br />CORE Core <br />Non -CCA Non -C rate Cam lianas mement CCA <br />FRM 22001-02 (01116108) R <br />Pane t Of <br />r � <br />t <br />11 IF <br />ELOWMA- <br />my srgnatare above Indicates I attended the training program ideni led on this form. <br />RB Rale Based <br />CORE Core <br />Non -CCA Non -C rate Cam lianas mement CCA <br />FRM 22001-02 (01116108) R <br />Pane t Of <br />