{"text_format":"3","workbook":"xlsx","n_sheets":20,"sheets":["Pegue aqui la DB","MENU","Application","Back","Bar Code","Rights Ingles","Rights Espanol","Milk Espanol","Milk Ingles","Religious English","Religious Espanol","Temp Ingles","Temp Espanol","Form H1509","WL Ingles","WL Espanol","VOUCHER","Veteran-Disabled","Instructions","Sites"],"not_rendered":{"images":49,"macros":1,"defined_names":23},"read":"whole","date_system":"1900"}

{"sheet":"Pegue aqui la DB","index":0,"n_rows":2,"n_cols":33,"rows_kept":2}
["Client No.","Last Name","First Name","Middle Name","Site Name","DOB","Address","Apt  or Unit","Zip Code","City","State","County","Phone","Gender","Household Members","Monthly Income","Client Status","Certification Start Date","Certification End Date","Ethnicity","Race","Income Eligibility","Proxy 1","Proxy Phone","Proxy 2","Notes","Veteran","Disabled","Receive Texts","Home Delivery","Check to order a Card","Modified Date","Modified By"]
[50002,"Sample","John","Fitzgerald","163","1954-05-24","123 Main St.","Apt. 1","78041","Laredo","TX","Webb","9564800492","Male",{"v":5,"d":"5.00"},{"v":1200,"d":"$1,200.00"},"Active","2023-12-08","2024-04-30","Hispanic or Latino","White","Social Security","Gloria Calderon","","Annette Calderon","","No","Yes Other","No","No",0,"2023-05-31","Juan Solis"]

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[null,"South Texas Food Bank",{"$nulls":18}," "]
[null,"Commodity Supplemental Food Program (CSFP)"]
[]
[]
["PRINTING MENU"]
[null," "]
{"$rows_empty":26}
[null,"Household Information "]
[null,"Name of Individual that is Filling the Application",{"$nulls":9},{"$f":"'Pegue aqui la DB'!AG2","v":"Juan Solis"}]
[null,"Title of Individual that is Filling the Application",{"$nulls":9},"Eligibility Specialist"]
[]
[null,"Name of Applicant",{"$nulls":7},"Last",null,{"$f":"'Pegue aqui la DB'!B2","v":"Sample"}]
[{"$nulls":9},"First",null,{"$f":"'Pegue aqui la DB'!C2","v":"John"}]
[{"$nulls":9},"(Full) Middle",null,{"$f":"'Pegue aqui la DB'!D2","v":"Fitzgerald"}]
[]
[null,"Site Name",{"$nulls":9},{"$f":"VLOOKUP('Pegue aqui la DB'!E2,Sites!A1:B180,2,FALSE)","v":"Holy Redeemer"}]
[null,"Date of Birth",{"$nulls":9},{"$f":"'Pegue aqui la DB'!F2","v":"1954-05-24"},null,{"$f":"IF(L42<1,\"\",IF(L105-L42>=21915,\"Age is Ok\",\"Warning not 60 years old yet !\"))","v":"Age is Ok"}]
[]
[null,"Address",{"$nulls":7},"Street",null,{"$f":"'Pegue aqui la DB'!G2","v":"123 Main St."}]
[{"$nulls":11},{"$f":"'Pegue aqui la DB'!H2","v":"Apt. 1"}]
[{"$nulls":9},"City",null,{"$f":"'Pegue aqui la DB'!J2","v":"Laredo"}]
[{"$nulls":9},"State",null,{"$f":"'Pegue aqui la DB'!K2","v":"TX"}]
[{"$nulls":9},"ZipCode",null,{"$f":"'Pegue aqui la DB'!I2","v":"78041"}]
[]
[null,"Area Code and Telephone No.",{"$nulls":9},{"$f":"'Pegue aqui la DB'!M2","v":"9564800492"}]
[null,"Alternate Telephone No."]
[null,"Total Number of Household Members",{"$nulls":9},{"$f":"'Pegue aqui la DB'!O2","v":5}]
[]
[null,"Total Gross Income of all Household Members:",{"$nulls":7},"Weekly"]
[{"$nulls":9},"Monthly",null,{"$f":"'Pegue aqui la DB'!P2","v":{"v":1200,"d":"$1,200"}},null,"Note: SNAP benefits do not count as income."]
[{"$nulls":9},"Yearly"]
[]
[null,"Gender"]
[null,"Male",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!N2)=\"MALE\",\"X\",0)","v":"X"}]
[null,"Female",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!N2)=\"FEMALE\",\"X\",0)","v":0}]
[]
[null,"Have you ever received food from the Commodity Supplemental Food Program?"]
[null,"Yes"]
[null,"No"]
[null,"If yes Where?",{"$nulls":7},"(City and State)"]
[null,"Date applicant last received food from the CSFP:"]
[]
[null,"Race"]
[null,"Black or African American",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$U$2)=\"Black or African American\",\"X\",0)","v":0}]
[null,"Native Hawaiian or Other Pacific Islander",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$U$2)=\"Native Hawaiian or Other Pacific Islander\",\"X\",0)","v":0}]
[null,"American Indian or Alaska Native",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$U$2)=\"American Indian or Alaskan Native\",\"X\",0)","v":0}]
[null,"Asian",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$U$2)=\"Asian\",\"X\",0)","v":0}]
[null,"White",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$U$2)=\"White\",\"X\",0)","v":"X"}]
[]
[null,"Ethnicity"]
[null,"Hispanic or Latino",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$T$2)=\"Hispanic or Latino\",\"X\",0)","v":"X"}]
[null,"Not Hispanic or Latino",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$T$2)=\"Not Hispanic or Latino\",\"X\",0)","v":0}]
[]
[null,"Eligibility  (presented documentation)"]
[]
[null,"Does the Applicant meet the Income Guidelines for the Elderly?"]
[null,"Yes, the applicant meet the Income Guidelines",{"$nulls":9},"X",null,"Compare the applicant's income against the "]
[null,"No, the applicant doesn't meet the Income Guidelines",{"$nulls":11},"most recent Income Guidelines for the Elderly."]
[null,"Income documentation presented:"]
[null,"Social Security Award Letter",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$S$2)=\"Social Security Award Letter (Pension)\",\"X\",0)","v":0}]
[null,"Pay Stub from previous month",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$S$2)=\"Pay Stub From Previous Month\",\"X\",0)","v":0}]
[null,"Income Tax Return",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$S$2)=\"Income Tax Return\",\"X\",0)","v":0}]
[null,"Bank Statement  (only gross income)",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$S$2)=\"Bank Statement\",\"X\",0)","v":0}]
[null,"SSI Award Letter",{"$nulls":9},{"$f":"IF(('Pegue aqui la DB'!$S$2)=\"SSI Award Letter (Disability)\",\"X\",0)","v":0}]
[]
[null,"Categorical proof? (This means that the aplicant has 60 years or more)"]
[null,"Yes",{"$nulls":9},"X",null,"The applicant must show proof that"]
[null,"No",{"$nulls":11},"he/she is 60 years old  or older."]
[null,"Address proof?"]
[null,"Yes",{"$nulls":9},"X",null,"Bank Statement can be used as"]
[null,"No",{"$nulls":11},"proof of address."]
[]
[null,"Category"]
[null,"Elderly",{"$nulls":9},"X"]
[null,"Not categorically eligible"]
[]
[null,"Determination"]
[null,"Eligible",{"$nulls":9},{"$f":"IF('Pegue aqui la DB'!Q2=\"Active\",\"X\",0)","v":"X"},{"$f":"IF(L42<1,\"\",IF(L105-L42>=21915,\"Age is Ok\",\"Warning not 60 years old yet !\"))","v":"Age is Ok"}]
[null,"Eligible – On Waiting List",{"$nulls":9},{"$f":"IF('Pegue aqui la DB'!Q2=\"Waiting List\",\"X\",0)","v":0}]
[null,"Determination Date",{"$nulls":9},{"$f":"TODAY()","v":"2023-12-08"}]
[null,"Date of Initial Visit",{"$nulls":9},{"$f":"TODAY()","v":"2023-12-08"}]
[null,"Certification Period",{"$nulls":11},"thru"]
[]
[null,"Proxy"]
[null,"Name of Proxy 1 —Optional",{"$nulls":9},{"$f":"'Pegue aqui la DB'!W2","v":"Gloria Calderon"}]
[null,"Name of Proxy 2 —Optional",{"$nulls":9},{"$f":"'Pegue aqui la DB'!Y2","v":"Annette Calderon"}]
[null,"The following part must be completed only when the applicant is not eligible."]
[null,"Not Eligible "]
[null,"If ineligibility was determined, that was based on :"]
[null,"Income"]
[null,"Residency"]
[null,"Age"]
[]
[]
[]
[{"$nulls":15}," "]
{"$rows_empty":20}
[null,"Oops ! ….."]
[]
[null,"You are using the wrong procedure to print your application."]
[]
[null,"Please use the buttons located in the PRINTING MENU"]
[]
[null,"Thank you !!"]

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[{"$nulls":28},{"$f":"'Pegue aqui la DB'!A2","v":50002}]
[null,"Commodity Supplemental Food Program"]
[null,"Participant Application"]
[null,"Print pages 1 – 2 for Certification."]
["Household Information"]
[null,"Name of applicant/Nombre del solicitante",{"$nulls":14},"      Address/Dirección",{"$nulls":17},"Date/Fecha"]
[null,{"$f":"MENU!L37&\", \"&MENU!L38&\" \"&MENU!L39","v":"Sample, John Fitzgerald"},{"$nulls":10},{"$f":"MENU!L44&\" \"&MENU!L45&\", \"&MENU!L46&\" \"&MENU!L47&\" \"&MENU!L48","v":"123 Main St. Apt. 1, Laredo TX 78041"},{"$nulls":20},{"$f":"'Pegue aqui la DB'!R2","v":"2023-12-08"}]
[]
[null,"Date of birth/La fecha de nacimiento",{"$nulls":10},"     Phone number/Número de teléfono",{"$nulls":11},"    Site name/Nombre del sitio"]
[null,{"$f":"IF(MENU!L42<=0, \" \",MENU!L42)","v":"1954-05-24"},{"$nulls":11},{"$f":"MENU!L50","v":"9564800492"},{"$nulls":10},{"$f":"MENU!L41","v":"Holy Redeemer"}]
[]
[null,"Name of proxy/Nombre del proxy",{"$nulls":10},"     Phone number/Número de teléfono",{"$nulls":11},"    Dates of proxy/Fechas de proxy"]
[null,{"$f":"MENU!L110","v":"Gloria Calderon"},{"$nulls":6},"/",{"$f":"MENU!L111","v":"Annette Calderon"},{"$nulls":5},{"$f":"'Pegue aqui la DB'!X2","v":""},{"$nulls":9},{"$f":"V26","v":"2023-12-08"},{"$nulls":4},{"$f":"AD26","v":"2026-11-01"}]
[]
["Income Information",{"$nulls":9},{"$f":"MENU!L65","v":0}]
[null,"Total gross income (before deductions) of all household members. SNAP benefits do not count as income."]
[null,"Ingreso brutos total (antes de deducciones) de todos los miembros del hogar. Beneficios de SNAP no cuentan como ingreso."]
[null,"$_________    Weekly/Semanal",{"$nulls":12},"$",{"$f":"IF(MENU!L55<=0,\" \",MENU!L55)","v":{"v":1200,"d":"1,200"}},null,null,"  Monthly/Mensual",{"$nulls":7},"  $_________    Yearly/Anual"]
[{"$nulls":14},{"$f":"IF(MENU!L54<=0,\" \",MENU!L54)","v":" "},{"$nulls":18},{"$f":"IF(MENU!L56<=0,\" \",MENU!L56)","v":" "}]
[null,{"$f":"MENU!L52","v":5},null,null,"Number of household members/Número de miembros del hogar"]
[]
["Eligibility"]
[]
[null,{"$f":"MENU!L103","v":"X"},null,null,"Eligible/Eligible    Applicant is eligible when they meet income, residency, and age requirements./El solicitante es elegible "]
[null,null,"cuando cumple con los requisitos de ingresos, residencia, y edad.",{"$nulls":48},"mas ","un año","menos"]
[{"$nulls":4},"Dates of certification/Fechas de la certificación:",{"$nulls":15},"from/de ",{"$f":"'Pegue aqui la DB'!R2","v":"2023-12-08"},{"$nulls":5}," to/a ",null,{"$f":"VALUE(BC26&\"/\"&BD26&\"/\"&BE26)","v":"2026-11-01"},{"$nulls":20},{"$f":"MONTH(V26)","v":12},11,{"$f":"AZ26+AY26","v":23},12,{"$f":"IF(BA26-BB26<=0,12,BA26-BB26)","v":11},1,{"$f":"IF(AY26=1,YEAR(V26)+2,YEAR(V26)+3)","v":2026}]
[null,{"$f":"MENU!L104","v":0},null,null,"Eligible and on waitlist/Eligible y en la lista de espera",{"$nulls":45},"today","11 mese","despues",12]
[]
[]
[null,{"$f":"MENU!L113","v":0},null,null,"Ineligible/Inelegible        I have been advised in writing that I am ineligible to participate in the CSFP and have the right to a fair "]
[null,"hearing. I am ineligible to participate based on the following criteria:/He sido informado por escrito que soy inelegible para participar en el "]
[null,"programa de comida suplemental y tengo derecho a una audiencia imparcial. Soy inelegible para participar en base a los siguientes "]
[null,"criterios:"]
[null,{"$f":"MENU!L115","v":0},null,null,"Income/Los ingresos",{"$nulls":9},{"$f":"MENU!L116","v":0},null,null," Residency/La residencia",{"$nulls":11},{"$f":"MENU!L117","v":0},{"$nulls":3},"Age/La edad"]
{"$rows_empty":21}
[null,{"$f":"Application!AC1","v":50002},null,null,{"$f":"Application!B7","v":"Sample, John Fitzgerald"}]
{"$rows_empty":9}
["Ethnicity and Race"]
[null,"Ethnicity  (select one category)/Origen étnico (seleccione una categoría)"]
[null,null," Hispanic or Latino/Hispano o Latino",{"$nulls":9},{"$f":"MENU!L76","v":"X"},{"$nulls":3},"Not Hispanic or Latino/No hispano o Latino",{"$nulls":12},{"$f":"MENU!L77","v":0}]
[]
[null,"Race  (select one or more categories)/Raza (seleccione una o más categorías)"]
[null,null,{"$f":"MENU!L69","v":0},null,"Black or African American/Negro o afroamericano"]
[null,null,{"$f":"MENU!L70","v":0},null,"Native Hawaiian or Other Pacific Islander/Nativo de Hawai o de otra isla del Pacífico"]
[null,null,{"$f":"MENU!L71","v":0},null,"American Indian or Alaskan Native/Indio americano o nativo de Alaska"]
[null,null,{"$f":"MENU!L72","v":0},null,"Asian/asiático"]
[null,null,{"$f":"MENU!L73","v":"X"},null,"White/el blanco"]
{"$rows_empty":23}
["Signatures"]
[null,"  Applicant or Proxy’s Signature/Firma del participante o representante",{"$nulls":19},"   CE or Site’s Signature/CE o firma del sitio"]
[null,"X",{"$nulls":20},{"$f":"MENU!L34","v":"Juan Solis"}]

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[null,{"$f":"Application!AC1","v":50002},null,null,{"$f":"Application!B7","v":"Sample, John Fitzgerald"}]
{"$rows_empty":8}
["Ethnicity and Race"]
[null,"Ethnicity  (select one category)/Origen étnico (seleccione una categoría)"]
[null,null," Hispanic or Latino/Hispano o Latino",{"$nulls":9},{"$f":"MENU!L76","v":"X"},{"$nulls":4},"Not Hispanic or Latino/No hispano o Latino",{"$nulls":11},{"$f":"MENU!L77","v":0}]
[]
[null,"Race  (select one or more categories)/Raza (seleccione una o más categorías)"]
[null,null,{"$f":"MENU!L69","v":0},null,"Black or African American/Negro o afroamericano"]
[null,null,{"$f":"MENU!L70","v":0},null,"Native Hawaiian or Other Pacific Islander/Nativo de Hawai o de otra isla del Pacífico"]
[null,null,{"$f":"MENU!L71","v":0},null,"American Indian or Alaskan Native/Indio americano o nativo de Alaska"]
[null,null,{"$f":"MENU!L72","v":0},null,"Asian/asiático"]
[null,null,{"$f":"MENU!L73","v":"X"},null,"White/el blanco"]
{"$rows_empty":23}
["Signatures"]
[null,"  Applicant or Proxy’s Signature/Firma del participante o representante",{"$nulls":17},"   CE or Site’s Signature/CE o firma del sitio"]
[null,"X",{"$nulls":17},{"$f":"MENU!L34","v":"Juan Solis"}]
{"$rows_empty":28}
[null,"Eligibility",{"$nulls":10}," Category",{"$nulls":11}," Determination"]
[]
[null,"Income",{"$nulls":3},{"$f":"MENU!L82","v":"X"},"Yes",null,{"$f":"MENU!L83","v":0},"No",{"$nulls":3},{"$f":"MENU!L99","v":"X"},"Elderly",{"$nulls":11},"Eligible"]
[]
[null,"Determine with documentation such as:",{"$nulls":11},{"$f":"MENU!L100","v":0},"Not categorically eligible",{"$nulls":10},{"$f":"MENU!L104","v":0},"Eligible and On Waiting List"]
[]
[null,null,"Social Security award letter",{"$nulls":22},{"$f":"MENU!L113","v":0},"Not Eligible "]
[]
[null,null,"Pay stub from previous month",{"$nulls":21},"Determination Date",{"$nulls":5},{"$f":"MENU!L105","v":"2023-12-08"}]
[]
[null,null,"Income tax return",{"$nulls":21},"Date of Initial Visit",{"$nulls":5},{"$f":"MENU!L106","v":"2023-12-08"}]
[]
[null,null,"Bank statement",{"$nulls":21},"Certification Period"]
[]
[null,null,"SSI award letter",{"$nulls":27}," to"]
[]
[]
[null,"Categorical",{"$nulls":3},{"$f":"MENU!L92","v":"X"},"Yes",null,{"$f":"MENU!L93","v":0},"No",{"$nulls":14},"Signature of Individual Making Determination"]
[]
[null,"Residence",{"$nulls":3},{"$f":"MENU!L95","v":"X"},"Yes",null,{"$f":"MENU!L96","v":0},"No",{"$nulls":14},"Title of Individual Making Determination"]
[]
[null,"Ineligibility  ES must indicate basis for ineligibility."]
[null,"   I have been advised in writing that I am ineligible to participate in the CSFP and have the right to a fair hearing. I am ineligible to "]
[null,"participate based on the following criteria"]
[null,"   He sido informado por escrito que soy elegible para participar en el programa de comida suplemental y tienen derecho a una audiencia "]
[null,"imparcial. Soy inelegible para participar en base a los siguientes criterios:"]
[{"$nulls":11},"Income/los ingresos ",{"$nulls":8},"Residency/la residencia ",{"$nulls":7},"Category/la categoría "]
[]
[null,"Signatures"]
[null,"Applicant or Proxy’s Signature/Firma del participante o ",{"$nulls":15},"Proxy’s Name/Nombre del representante",{"$nulls":12},"  Date/Fecha"]
[null,"representante"]
[null,"X",{"$nulls":28},{"$f":"AE84","v":"2023-12-08"}]

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[]
[{"$nulls":64},"*","*"]
[{"$nulls":5},"South Texas Food Bank"]
[{"$nulls":5},"CSFP Program"]
[{"$nulls":5},"Participant's Temporary ID"]
[]
[{"$nulls":16},"Last Name:",null,{"$f":"'Pegue aqui la DB'!B2","v":"Sample"}]
[{"$nulls":16},"First Name:",null,{"$f":"'Pegue aqui la DB'!C2","v":"John"}]
[{"$nulls":16},"Middle Name:",null,{"$f":"'Pegue aqui la DB'!D2","v":"Fitzgerald"}]
[{"$nulls":16},"DOB:",null,{"$f":"'Pegue aqui la DB'!F2","v":"1954-05-24"}]
[{"$nulls":16},"Site:",null,{"$f":"MENU!L41","v":"Holy Redeemer"}]
[{"$nulls":16},"Number ID:",null,{"$f":"'Pegue aqui la DB'!A2","v":50002}]
[]
[{"$nulls":13},{"$f":"CONCATENATE($BM$2,S12,$BN$2)","v":"*50002*"}]
[]
[]
[]
[]
[{"$nulls":13},{"$f":"S12","v":50002}]
[]
[{"$nulls":5},"Welcome to the CSFP Program !"]
[{"$nulls":5},"This is a temporary ID. A permanent ID will be provided as soon as it is ready."]
[{"$nulls":5},"Please show this paper along with your photo ID every time you come to pickup your food bag."]
[]
[{"$nulls":5},"Very Important !"]
[{"$nulls":5},"By instructions of the Texas Department of Agriculture (TDA),"]
[{"$nulls":5},"Photo ID is required every time you pickup your food bag."]
[{"$nulls":5},"We apologize, but we are not allowed to provide help to "]
[{"$nulls":5},"program's participants who don't show a valid ID."]
[{"$nulls":5},"Muy Importante !"]
[{"$nulls":5},"Por instrucciones del Texas Department of Agriculture (TDA),"]
[{"$nulls":5},"se requiere presentar identificación con fotografía cada vez "]
[{"$nulls":5},"que acuda usted a levantar su bolsa de comida."]
[{"$nulls":5},"Le pedimos nos disculpe, pero no nos esta permitido proveer"]
[{"$nulls":5},"ayuda a los participantes del programa que no muestren"]
[{"$nulls":5},"una identificación válida."]
[]
[{"$nulls":5},"For any questions or concerns, please call Sandra Chavez or Juan Solis"]
[{"$nulls":5},"at (956) 726-3120 ext 102 or 105."]
[" Nondiscrimination Statement"]

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{"sheet":"Rights Espanol","index":6,"n_rows":0,"n_cols":0,"rows_kept":0,"hidden":true}

{"sheet":"Milk Espanol","index":7,"n_rows":54,"n_cols":1,"rows_kept":54,"hidden":true}
{"$rows_empty":53}
["  Declaratoria de No Discriminacion"]

{"sheet":"Milk Ingles","index":8,"n_rows":51,"n_cols":1,"rows_kept":51,"hidden":true}
{"$rows_empty":50}
["   Nondiscrimination Statement"]

{"sheet":"Religious English","index":9,"n_rows":47,"n_cols":9,"rows_kept":47,"hidden":true}
{"$rows_empty":46}
[{"$nulls":8},"July 2016"]

{"sheet":"Religious Espanol","index":10,"n_rows":0,"n_cols":0,"rows_kept":0,"hidden":true}

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["South Texas Food Bank"]
["C.S.F.P. Program"]
["Temporary List Placement Notification"]
[]
["I uderstand that due to the limited number of spots in this Program, I will be receiving the bag in"]
["Temporary basis. With the understanding that I will continue receiving my bag "]
["through September 30th., 2021."]
["I am also notified that I have to inform to this office, of any change in the information I provided today"]
["(telephone number, address, income, household members number, etc)"]
["no later than 10 days of the information's date change."]
["(Please report any information update to: (956) 726-3120 CSFP Department)"]
[]
[]
[null,{"$f":"Application!B7","v":"Sample, John Fitzgerald"}]
[null,"Participant's Name"]
[]
[]
[null,"x"]
[null,"Participant's Signature",{"$nulls":5},"Program Oficial's Signature"]
[]
[]
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[null,"Date",{"$nulls":5},"Date"]
{"$rows_empty":21}
["South Texas Food Bank"]
["C.S.F.P. Program"]
["Temporary List Placement Notification"]
[]
["I uderstand that due to the limited number of places in this Program, I will be receiving the bag in"]
["Temporary basis. With the understanding that I will continue receiving my bag "]
["through September 30th., 2021."]
["I am also notified that I have to inform to this office, of any change in the information I provided today"]
["(telephone number, address, income, household members number, etc)"]
["no later than 10 days of the information's date change."]
["(Please report any information update to: (956) 726-3120 CSFP Department)"]
[]
[]
[null,{"$f":"B14","v":"Sample, John Fitzgerald"}]
[null,"Participant's Name"]
[]
[]
[null,"x"]
[null,"Participant's Signature",{"$nulls":5},"Program Oficial's Signature"]
[]
[]
[null,{"$f":"TODAY()","v":"2023-12-08"},{"$nulls":5},{"$f":"TODAY()","v":"2023-12-08"}]
[null,"Date",{"$nulls":5},"Date"]

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["South Texas Food Bank"]
["Programa de C.S.F.P. "]
["Notificación de que su aplicación quedará en Forma Temporal "]
[]
["Entiendo y estoy de acuerdo de que, debido a el número limitado de lugares en este programa,"]
["mi aplicación quedará en forma temporal."]
["Con el entendimiento de que podré continuar recogiendo mi despensa "]
["hasta Septiembre 30 de 2021."]
["Tambien estoy siendo notificado de que deberé informar a esta oficina por cualquier cambio "]
["en la información proporcionada por mi el día de hoy."]
["deberé actualizar mi información dentro de los 10 dias posteriores a que cualquier cambio ocurra."]
["(e.g. número de teléfono, domicilio, cantidad de ingresos, número de miembros en la familia en mi domicilio, etc.)"]
["(Puede reportar cualquier cambio al: (956) 726-3120 Departamento de C.S.F.P.)"]
[]
[]
[null,{"$f":"Application!B7","v":"Sample, John Fitzgerald"}]
[null,"Nombre de Participante "]
[]
[]
[null,"x"]
[null,"Firma de Participante ",{"$nulls":5},"Firma del oficial del Programa de CSFP"]
[]
[]
[null,{"$f":"'Pegue aqui la DB'!Q2","v":"Active"},{"$nulls":5},{"$f":"B24","v":"Active"}]
[null,"Fecha",{"$nulls":5},"Fecha"]
{"$rows_empty":20}
["South Texas Food Bank"]
["Programa de C.S.F.P. "]
["Notificación de que su aplicación quedará en Forma Temporal "]
[]
["Entiendo y estoy de acuerdo de que, debido a el número limitado de lugares en este programa,"]
["mi aplicación quedará en forma temporal."]
["Con el entendimiento de que podré continuar recogiendo mi despensa "]
["hasta Septiembre 30 de 2021."]
["Tambien estoy siendo notificado de que deberé informar a esta oficina por cualquier cambio "]
["en la información proporcionada por mi el día de hoy."]
["deberé actualizar mi información dentro de los 10 dias posteriores a que cualquier cambio ocurra."]
["(e.g. número de teléfono, domicilio, cantidad de ingresos, número de miembros en la familia en mi domicilio, etc.)"]
["(Puede reportar cualquier cambio al: (956) 726-3120 Departamento de C.S.F.P.)"]
[]
[]
[null,{"$f":"B16","v":"Sample, John Fitzgerald"}]
[null,"Nombre de Participante "]
[]
[]
[null,"x"]
[null,"Firma de Participante ",{"$nulls":5},"Firma del oficial del Programa de CSFP"]
[]
[]
[null,{"$f":"TODAY()","v":"2023-12-08"},{"$nulls":5},{"$f":"TODAY()","v":"2023-12-08"}]
[null,"Fecha",{"$nulls":5},"Fecha"]

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[{"$nulls":28},{"$f":"'Pegue aqui la DB'!A2","v":50002}]
[null,"Commodity Supplemental Food Program"]
[null,"Temporary Certification"]
[null,"You have been certified to receive food through the Commodity Supplemental Food Program on a temporary basis."]
["Participant Information"]
[null,"Name",{"$nulls":14},"      Address/Dirección","Signature",{"$nulls":14},"Date"]
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[]
[null,"Address",{"$nulls":23},"Area Code and phone number",{"$nulls":9},"ZIP code"]
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[]
[]
[{"$nulls":9},{"$f":"MENU!L111","v":"Annette Calderon"},{"$nulls":5},{"$f":"'Pegue aqui la DB'!Z2","v":""}]
[]
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[{"$nulls":9},"Your certification begins on",null,{"$f":"'Pegue aqui la DB'!Q2","v":"Active"}]
[{"$nulls":11},"Date"]
[{"$nulls":9},"and ends on",null,"2021-09-30"]
[{"$nulls":11},"Date"]
[null,"At that time, you might 1) receive a temporary certification extension, 2) be certified for a period not to exceed three (3) "]
[null,"years, or 3) be placed back on the wait list."]
[null,"If you disagree with this determination, you have the right to an appeal."]
[null,"Inform the food bank or site that you want to appeal."]
[]
[{"$nulls":51},"mas ","un año","menos"]
[{"$nulls":50},"today","11 mese","despues",12]
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{"$rows_empty":23}
[null,"CE or Site Information"]
[null,"Name",{"$nulls":14},"      Address/Dirección","Signature",{"$nulls":14},"Date"]
[null,{"$f":"MENU!L41","v":"Holy Redeemer"},{"$nulls":31},{"$f":"AH7","v":"Active"}]
[]
[null,"Address",{"$nulls":23},"Area Code and phone number",{"$nulls":9},"ZIP code"]
{"$rows_empty":40}
[null,"In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, "]
[null,"and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, "]
[null,"disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA."]
[null,"Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign "]
[null,"Language, etc.), should contact the Agency (State or local) where they applied for benefits.  Individuals who are deaf, hard of hearing or have speech "]
[null,"disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages "]
[null,"other than English."]
[null,"To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: "]
[null,"http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the "]
[null,"information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:  (1) mail: "]
[null,"U.S. Department of Agriculture; Office of the Assistant Secretary for Civil Rights; 1400 Independence Avenue, SW; Washington, D.C. 20250-9410;  (2) fax: "]
[null,"(202) 690-7442; or  (3) email: program.intake@usda.gov.   This institution is an equal opportunity provider."]
[null,"De conformidad con la Ley Federal de Derechos Civiles y los reglamentos y políticas de derechos civiles del Departamento de Agricultura de los EE. UU"]
[null,"(USDA, por sus siglas en inglés), se prohíbe que el USDA, sus agencias, oficinas, empleados e instituciones que participan o administran programas del "]
[null,"USDA discriminen sobre la base de raza, color, nacionalidad, sexo, discapacidad, edad, o en represalia o venganza por actividades previas de derechos "]
[null,"civiles en algún programa o actividad realizados o financiados por el USDA."]
[null,"Las personas con discapacidades que necesiten medios alternativos para la comunicación de la información del programa (por ejemplo, sistema Braille, "]
[null,"letras grandes, cintas de audio, lenguaje de señas americano, etc.), deben ponerse en contacto con la agencia (estatal o local) en la que solicitaron los "]
{"$rows_empty":11}
[null," • Income tax return • Bank statement • SSI award letter"]
[null,"Ethnicity  (select one category)/Origen étnico (seleccione una categoría)"]
[null,null,"Hispanic or Latino/Hispano o Latino  ",{"$nulls":25},"Not Hispanic or Latino/No hispano o Latino  "]
[]
[null,"Race  (select one or more categories)/Raza (seleccione una o más categorías)"]
[null,null,"Black or African American/Negro o afroamericano ……………………………………………"]
[]
[null,null,"Native Hawaiian or Other Pacific Islander/Nativo de Hawai o de otra isla del Pacífico ….."]
[]
[null,null,"American Indian or Alaskan Native/Indio americano o nativo de Alaska ………………….."]
[]
[null,null,"Asian/asiático ………………………………………………………………………………………."]
[]
[null,null,"White/el blanco ………………………………………………………………………………………"]

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["South Texas Food Bank"]
["C.S.F.P. Program"]
["Waiting List Placement Notification"]
[]
["I uderstand that due to the limited number of spots in this Program, I will be included in a"]
["Waiting List, until a place is available for me."]
[]
["I am also notified that I have to inform to this office, of any change in the information I provided today"]
["(telephone number, address, income, household members number, etc)"]
["no later than 10 days of the information's date change."]
["(Please report any information update to: (956) 726-3120 CSFP Department)"]
[]
[]
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[]
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[null,"Participant's Signature",{"$nulls":5},"Program Oficial's Signature"]
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[]
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[]
["I am also notified that I have to inform to this office, of any change in the information I provided today"]
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["no later than 10 days of the information's date change."]
["(Please report any information update to: (956) 726-3120 CSFP Department)"]
[]
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[null,"Date",{"$nulls":5},"Date"]

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["South Texas Food Bank"]
["C.S.F.P. Program"]
[]
["Notificación de que su aplicación quedará en Lista de Espera"]
[]
["Entiendo y estoy de acuerdo de que, debido a el limitado número de lugares en este programa,"]
["mi aplicación sera incluida en una Lista de Espera, hasta que un lugar este disponible para mi."]
[]
["También estoy siendo notificado de que deberé informar a esta oficina por cualquier cambio"]
["en la información proporcionada por mi el dia de hoy."]
["Debere actualizar mi información dentro de los 10 dias posteriores a que cualquier cambio ocurra."]
["(número de télefono, domicilio, cantidad de ingresos, número de miembros de la familia en mi domicilio, etc)"]
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[]
[]
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["South Texas Food Bank"]
["C.S.F.P. Program"]
[]
["Notificación de que su aplicación quedará en Lista de Espera"]
[]
["Entiendo y estoy de acuerdo de que, debido a el limitado número de lugares en este programa,"]
["mi aplicación sera incluida en una Lista de Espera, hasta que un lugar este disponible para mi."]
[]
["También estoy siendo notificado de que deberé informar a esta oficina por cualquier cambio"]
["en la información proporcionada por mi el dia de hoy."]
["Debere actualizar mi información dentro de los 10 dias posteriores a que cualquier cambio ocurra."]
["(número de télefono, domicilio, cantidad de ingresos, número de miembros de la familia en mi domicilio, etc)"]
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[{"$nulls":14},"1 BAG"]
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[null,"South Texas Food Bank"]
[null,"CSFP"]
[null,"Commodity Supplemental Food Program"]
[]
[null,"Please show a valid ID and give this paper"]
[null,"to the STFB Warehouse personnel in order to pickup your food."]
[]
[null,"This document is valid only for today."]
[{"$nulls":5},{"$f":"TODAY()","v":"2023-12-08"},{"$nulls":5},{"$f":"NOW()","v":45268.38094594907}]
[null,"This document expires one hour after its expedition."]
[]
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[{"$nulls":6},"Last Name:",{"$f":"'Pegue aqui la DB'!B2","v":"Sample"}]
[{"$nulls":6},"First Name:",{"$f":"'Pegue aqui la DB'!C2","v":"John"}]
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[{"$nulls":6},"Staff's Signature"]

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["South Texas Food Bank"]
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[null,null,"Today's Date",null,null,{"$f":"'Pegue aqui la DB'!Q2","v":"Active"}]
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[null,null,"Is the Participant a Veteran?",{"$nulls":3},{"$f":"'Pegue aqui la DB'!AC2","v":"No"}]
[]
[null,null,"Is the Participant Disabled?",{"$nulls":3},{"$f":"'Pegue aqui la DB'!AD2","v":"No"}]

{"sheet":"Instructions","index":18,"n_rows":0,"n_cols":0,"rows_kept":0,"hidden":true}

{"sheet":"Sites","index":19,"n_rows":81,"n_cols":3,"rows_kept":81,"hidden":true}
["Site_Number","Site_Name","Site_Number_B"]
["2","Nuestra Gente ADC","2"]
["4","Villa San Luis","4"]
["6","Father Ed Kircher","6"]
["7","Las Flores ADC","7"]
["8","Tanis Valdez Village","8"]
["9","Santa Teresita Community Center","9"]
["13","Buenos Dias ADC","13"]
["14","Lulac Haven","14"]
["15","Hamilton Senior Citizen Home","15"]
["16","Guadalupe Housing","16"]
["17","Rio Bravo Community Center","17"]
["18","San Vicente de Paul Church","18"]
["19","San Martin de Porres Church","19"]
["20","Larga Vista Community Center","20"]
["21","El Cenizo Community Center","21"]
["23","Fiesta ADC","23"]
["30","Senior Citizen Home","30"]
["36","South Texas Food Bank","36"]
["38","Mirando E.J. Salinas Comm. Center","38"]
["39","Bruni Community Center","39"]
["43","Mission Santo Nino","43"]
["44","Christ Church Episcopal","44"]
["45","Lilia Perez Community Center","45"]
["49","La Hacienda ADC","49"]
["56","Laredo Manor Apartments","56"]
["58","Civic Center","58"]
["59","San Jose Church","59"]
["60","El Paraiso ADC","60"]
["64","Santa Margarita de Escocia Church","64"]
["68","Zapata Pavilion","68"]
["69","San Ygnacio Community Center","69"]
["92","Hebbronville Food Pantry","92"]
["93","Kinney County Brackettville","93"]
["96","Val Verde County Community Center","96"]
["98","Maverick County Food Pantry","98"]
["99","Carrizo Springs Food Pantry","99"]
["100","Big Wells Food Pantry","100"]
["101","Asherton Food Pantry","101"]
["102","Catarina","102"]
["103","Val Verde Roswell","103"]
["104","Val Verde Home Bound","104"]
["105","Loaves and Fishes","105"]
["107","San Isidro Food Pantry","107"]
["109","Templo Rosa de Saron","109"]
["111","Precint 4 Colonias Unidas","111"]
["112","Precint 1 La Rosita","112"]
["113","Precint 2 Roma","113"]
["115","Precint 3 La Casita","115"]
["124","Zapata Home Bound","124"]
["126","La Luz ADC","126"]
["133","Laredo Caring Hearts ADC","133"]
["134","Esmeraldas ADC","134"]
["135","Zapata Falcon","135"]
["140","CSS Senior Center","140"]
["141","Dominion ADC","141"]
["142","Kickapoo Traditional Tribe of Texas","142"]
["143","Day Break ADC","143"]
["144","Gladiator Youth and Families","144"]
["145","Fasken Community Center","145"]
["146","Ladrillera Senior Center","146"]
["147","Ana Maria Lozano Housing","147"]
["148","Casa de Esperanza","148"]
["149","Rancho Penitas FMAB Comm. Center","149"]
["150","Alto Bonito Food Pantry","150"]
["151","La Presa Community Center","151"]
["152","Ladrillito Community Center","152"]
["153","Casa Verde Apartments","153"]
["154","Val Verde County Comstock","154"]
["155","Pueblo Nuevo","155"]
["156","Russell Terrace","156"]
["157","Carlos Richter","157"]
["158","229th, Food Pantry Roma","158"]
["159","Turkey Distribution","159"]
["160","Val Verde County Pct. 2","160"]
["161","San Judas Tadeo Church","161"]
["162","Door Dash","162"]
["163","Holy Redeemer","163"]
["164","Homebound","164"]
["165","Catholic Charities Del Rio","165"]
["166","Fernando Salinas Community Center","166"]