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DOC request three complete - Cannabis Defense Coalition

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! ~\ &TATE! 01" WASfoIINGTQ!f<br />

......,. CEPAATMiiNTOF COI'lREC'I'lO,!8<br />

Mea'Qlna1 Use of Marijuana V~rification<br />

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To be flll~ out by F'rQ8crl~er!<br />

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i\:" 3.;L 'IfIi.:) g<br />

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DeBr Prescriber, '. . • ".<br />

'Sy &tate statute Ihe WaShington Slate Oepanrnent ofCorreClions is charged with the responsibility to SUjleNlsa llama<br />

offenders aftar they have i)eerr,cohvic!ecl of a felony. The) above named patient 15 CfJrrently under stJpervlelon by lhe , .<br />

DepartmenL Supervision Js designed to help the offenderaVQid \hasa 5nv!ronmants or srtoalfons Ihat lead to their qriminal<br />

behavior. otten Illicit drug use iii a q

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