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mm m m mm mmm mm m m mm mm mm, m mm mm mm mm mm mm mm <br /> <br /> MAMMOGRAM VOUCHER )NCOMB $CAL£ <br /> <br /> Gcoss Monthly Income <br /> <br /> Family <br /> Size $50 $40 $30 $20 <br /> <br /> I S(g] TO . $828 SGSg TO $965 $955 TO S1~02 S~0) and ove~ <br /> 2 S926 TO ' S]LI0 $1]11 TO $~295 $129b TO $1~79 S!~80 and ove~: <br /> ~ $11bl TO $1393 $139& ?O $1625 Sl&Z& TU $1856 S18~7 and ove~ <br /> <br /> 8 $2339 TO ' SSe0~ $2806 TO $32)) S~27~ TO S373g S~7a0 ~ <br /> Il S3065 TO S3653 $3654 To 1~2~ ~2~2 TO 1~869 $~870 ~ <br /> <br /> ,NOTE: No vouche: should be g£ven l~ client has Medica:e 8. <br /> <br /> <br />