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10._Entire_Tribunal_Case_Information_Sheet_Must_Upload_Answer_.37a06595-d16b-4f0d-bdb4-2ccb4b9d1c1a.pdf

Medical Behavioral Hospital Of Mi LLC Dba Kalamazoo Bh Hospital, Petitioner Vs. Township Of Texas, Respondent · 25-002004-TT

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Page 1

STATE OF MICHIGAN

GRETCHEN WHITMER

GOVERNOR

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

LANSING

ORLENE HAWKS

DIRECTOR

Entire Tribunal Case Information Sheet - Respondent

MOAHR DOCKET NO. 25-002004

Section 1: Respondent’s Contact Information

Filer Type: Local Unit of Government

Township Of Texas (KALAMAZOO)

Local Unit of Government/First Name

M.I.

Last Name

Home Address (No., Street, P.O. Box or Rural Route)

City or Town

State

Michigan

ZIP Code

Telephone Number

Fax Number

E-mail Address (do not enter unless you want MTT to send all correspondence via e-mail)

Section 2: Attorney/Authorized Representative’s Contact Information

First Name

Robert

M.I.

E

Last Name

Thall

Firm Name (if any)

Address (No., Street, P.O. Box or Rural Route)

470 W. Centre Ave., Suite A

City or Town

Portage

State

Michigan

ZIP Code

49024-5362

Telephone Number

269-382-4500

Fax Number

269-382-2040

E-mail Address (do not enter unless you want MTT to send all correspondence via e-mail)

thall@michigantownshiplaw.com

Electronic Signature *Typing your name below will serve as your signature

Respondent or Authorized Attorney/Representative’s Signature: 

Robert E Thall

/s/

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