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Attachment <br /> Page 2 <br /> <br /> 185 ?street o£ Poverty (~ext~ Level) <br /> <br /> -Feet17 Size- 7ese Nonth Week . ~_~ <br /> <br /> 2 ..... 16.'837 1~236~62 282.33 <br /> <br /> ~ 22~385 ~865.6~ &30o68 <br /> 5 ~6.t59 Z,179o92 " 503,06 <br /> 6 29~933 2.696o62 ~75,63 <br /> 33,707 2~808,92 648,2! <br /> '37~681 3~123.62 '720o79 <br /> <br /> FOr ~eeh. <br /> Additional <br /> · FamL~7 Humber ' <br /> Add 3.77a 316.50 72.58 <br /> <br /> ~oge Income <br /> <br /> Income 'La' the combLned gross cash ~neome be[ore deductions of ~ncome <br /> taxes! socta~ security taxes. Lnsurance premiums, bdcds, etco~ received <br /> by the.patient or hCa/her (amll~ from the f011o~Lng sources: <br /> <br /> 1, Salaries, wages! commtasLons, or fees; <br /> 2, gara£cgu fcom sell-employment; <br /> 3, Investment tecome~ stocks! bonds, savLngs account Interest, <br /> 'rentals, ac~ all other investment Income; <br /> 6," Public assistance money! loeo~ AFDC; <br /> 5, Une~ploT~ent compenaakLon; <br /> ' 6,~. ALtmocy and child support payments; <br /> 7. Hllltar7 allotments; <br /> 8o $oe~al Secu~lt? <br /> 9. Veterans AdeLntet£attoc bece£Lte~ <br /> *I0, .Supplements! security 1creme bereft:s; <br />-- 11, gettrement and pension payments; <br /> 12, ~otkers <br /> 13, Eegular contrLbuttone f£om perso~s not llvLcg t~ the <br /> ;. householdl and <br />~ 16, "All other sources of cash intone except those <br /> <br /> <br />