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oacKgrouna may oe requesrea, ana mar 1 may oe reqmrea IO prov10e sucn mrormauon 111 oraer IO
be eligible to receive any award the Court may order in this lawsuit, and that filling out this Interest-in-Relief Form does not guarantee that I will receive any individual relief award in this lawsuit.
I CERTIFY under penalty of pe1jury that the foregoing is true and correct.
Signature: Date: --------Electronic signat11re accepted
Printed Name:
Email your Interest-in-Relief Form by [DATE} to Comm11nitv.MichiganDOC@11sdo/.gov.
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To: Community. ichiganDOC... 0
Cc/Bee, From:
SubJect: Emailing lnterest-inRelief_Form_12162020(1) .pdf
lnterest-in-... 2020(1).pdf
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