ATTENTION: IN CASE OF EMERGENCY I, _______________________, have pet(s) that are in need of immediate attention located at ______________ ______________________________________________. I ask that you please contact at least one of the following person(s) as soon as possible and provide them with any information concerning my condition and whereabouts: Name: ___________________ Phone: ( __) __ . Name: ___________________ Phone: ( __ ) __ . Signed: _____________________ Date: ____________

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24330 Lahser, Southfield, Michigan 48033 - Phone: (248) 356-3500 - Fax: (248) 352-7347

Jim Schuster, Certified Elder Law Attorney serves clients throughout southeastern Michigan. This includes: all communities in Macomb County including Chesterfield Township, Clinton Township, Harrison Township, Macomb Township, Shelby Township, Center Line, Eastpointe, Fraser, Mount Clemens, Roseville, St. Clair Shores, Sterling Heights, Utica, Warren; all communities in Oakland County including Auburn Hills, Berkley, Beverly Hills, Bingham Farms, Birmingham, Bloomfield, Bloomfield Hills, Clarkston, Clawson, Farmington, Farmington Hills, Ferndale, Franklin, Hazel Park, Lake Orion, Lathrup Village, Madison Heights, Novi, Oak Park, Oxford, Pleasant Ridge, Pontiac, Royal Oak, Southfield, Sylvan Lake, Troy, Waterford, Walled Lake, West Bloomfield; all communities in Wayne County including Allen Park, Bellville, Brownstown Township, Canton, Detroit, Dearborn, Dearborn Heights, Flat Rock, Garden City, Grosse Isle, Grosse Pointe, Grosse Pointe Farms, Gross Pointe Park, Grosse Pointe Woods, Inkster, Lincoln Park, Northville, Plymouth, Redford, Romulus, Southgate, Taylor, Wayne, Westland and Wyandotte.

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