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    Verification of Benefits

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    surenacadena
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    © All Rights Reserved
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    Verification of Benefits

    Uploaded by

    surenacadena
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    Copyright:

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    4 views2 pages

    Verification of Benefits

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    surenacadena
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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    Kinship COUNTY OF KERN

    PO BOX 511
    BAKERSFIELD, CA 93302-0511
    Date: 07/18/2024
    Case Name: VICTOR LOPEZ JR
    Case Number: 2112983
    Worker Name: Processing Team Twelve
    Worker ID: 15LS03U20V
    VERIFICATION OF BENEFITS Worker Phone Number: (877) 410-8812

    VICTOR F LOPEZ JR
    1525 BUSH ST
    ARVIN, CA 93203-2007

    Physical Address:

    Home Phone Number:

    Monthly Benefits

    Cash Aid CF MC
    Month/Year CalWORKs GA/GR RCA CAPI Assistance CalFresh Household MC CMSP Household
    Unit Size Size Size

    07/2023 281.00 1 Y N 1
    08/2023 281.00 1 Y N 1
    09/2023 281.00 1 Y N 1
    10/2023 291.00 1 Y N 1
    11/2023 291.00 1 Y N 1
    12/2023 291.00 1 Y N 1
    01/2024 291.00 1 Y N 1
    02/2024 291.00 1 Y N 1
    03/2024 291.00 1 Y N 1
    04/2024 291.00 1 Y N 1
    05/2024 291.00 1 Y N 1
    06/2024 291.00 1 Y N 1
    07/2024 291.00 1 Y N 1

    CSF 142 (10/2020)

    Page 1 of 2
    Current Household Details
    Aid In the GA MC/CMSP
    Name DOB CF CW CAPI OHC Medi-Cal CMSP
    Code Home /GR SOC
    VICTOR F LOPEZ JR 09/15/1993 M1 Y Y N N N N Y N 0.00

    Comments

    CSF 142 (10/2020)

    Page 2 of 2

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