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06/ 16 Page 1 of 2 FAMILY MATTER SUMMARY SHEET: M. 5( h) This form is used for entering basic information about the case and the parties into court records. ATTACHMENT 5 FAMILY SUMMARY SHEET Mbr. # Last Name of Family Member First Name Relationship to HOH Sex Date of Birth 1. 3 REV- 1 Family Summary Sheet Member No. Last Name of Family Member First Name Relationship to Head of Household Sex Date of Birth Head 2 3.
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The family of Amira Nairat, who was fatally struck by a drunken driver while walking to Richards High School Feb. 4, talk about the pain of losing a loved one. Nairat said his boss called him.