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Get Friend in Deed Application for Assistance 2012

_____________________________ Place of Employment: __________________________________ Toys will be available for all children ages 12 and under living in the home. Release. I hereby authorize Friend-In-Deed to investigate this application for assistance. I understand that any false information, or misrepresentation of facts, or delay in responding may result in denial of this application. Signed_________________________________________________________________________Date_______________________.

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