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A. 0 - 8 B. 9-12 (NON-GRAD) FOOD STAMPS D. 12 + E. UNKNOWN F. COLLEGE GRAD C. HS GRAD/GED VETERAN YES # IN HSHLD NO TELEPHONE ( ) ETHNICITY YES FAMILY TYPE H. HISPANIC HEALTH INSURANCE FARMER A. MEDICAID NO A. ASIAN O. OTHER N. NATIVE AMER. D. SELF-INS B. MEDICARE C. PRIVATE E. NONE F. UNKNOWN HOUSING F. SINGLE PAR/FEMALE S. SINGLE OWN M. SINGLE PAR/MALE T. TWO PARENT C. COUPLE O. OTHER RENT HOMELESS A. FARMER B. MIGRANT C. SEASON CLIENT INCOME A. WEEKLY B. BI-WEEKLY.

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