j ' c ! Distribution Program .
l.HiiHIUTV ?JL'iV I-Y
!"ool packets consist . ...-sth's i.upjt L ol canned meat, vegetables and fruits,
peanut butter, dry ..u.: ov.i;h,i atod milk, hoe:;e, rice, corn, past a, flour, instant
potatoes, honey, salu :t : ! .in, beans, and .shortening.
Would you participate? No
Distribution sites w : 11 i..- located at Silei.. Would you be willing to drive to
Hie site for food? No
Please indicate bow many . i t , includi:ii; yourself, are currently living in
the bousehold.
l'lease indicate 1 1 i . total number ot household members in each of- the ago categories
1 istcd below.
Agi! Number
18 or tiiu'o!
iy - jo
31 - V
l.hat was your approximate loul household income alter taxes for 1983?
rthat, if any, is the ap;:v:i:.iato value of all household resources? This would
include, cash, chet.kii:i. .u. i saving accounts, stocks and bonds.
$1,751 - j.UuO
$3, UUi) above
ink-you for cooperation. Phase return to:
'Pie Confederated Tribes of Grand Honde Indians
I'. (j. Box 38
Grand Konde, 01'. 'J 7 347