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Countable Assistance History Details
| Household Member | [Full Name] | State | |
|---|---|---|---|
| Start Period | Year | ||
| Program Type |
| End Period | Year | ||
|---|---|---|---|
| Number of Months | [field-value] |
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| Household Member | [Full Name] | State | |
|---|---|---|---|
| Start Period | Year | ||
| Program Type |
| End Period | Year | ||
|---|---|---|---|
| Number of Months | [field-value] |