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Get CA MC 210 S-I 2008-2024

, ALIMENTOS O ROPA QUE USTED RECIBE GRATIS O A CAMBIO DE TRABAJO. PARTE I. COUNTY USE ONLY Case name Case number Eligibility worker number Date VERIFICACÍON DE LOS INGRESOS NO EN EFECTIVO A. Sección de Autorización del Cliente (Firme esta sección si usted desea que el condado verifique los INGRESOS NO EN EFECTIVO) Nombre(s) Dirección (número, calle) Cuidad Codigo postal Por medio de la presente autorizo al condado de ___________________________________ a que se comunique con _______.

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