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Get MO 886-4558 2015-2024

STrIbUTIon MonTh AnD yEAr I CERTIFY WITH MY SIGNATURE: I have reviewed The Emergency Food Assistance Program eligibility criteria sheet (FD-15A-Part 1). All household members receive some form of public assistance or have a combined monthly gross income that does not exceed the income guidelines shown on the eligibility criteria sheet. All members of my household are residents of Missouri. Members of my household have not received TEFAP foods during the current month. I UNDERSTA.

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