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Enclosed is our final copy of the Office of Legislative Auditor General 's Operational Assessment Review Report for the Jail Medical Health Services Program - Department of Health and Human Services. Our report is dated July 19, 2011 ; DAP No. 2011-57-852. The report was accepted by the Audit Committee September 13, 20 I I, and formally received by the Wayne County Commission on September 22,201 l.

We are pleased to inform you officials from Jail Medical Health Services Program and the Department of Health and Human Services provided their full cooperation. If you have any questions, concerns, or desire to discuss the report in greater detail, we would be happy to do so at your convenience. This report is intended for your information and should not be used for any other purpose.