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From: _________________________________________________________________ (Client Name) You are hereby authorized and directed to release to or permit the examination and the copying or reproduction in any manner, whether mechanical, photographic or otherwise, by the Grant Township Supervisor and the personnel of the Grant Township General Assistance Office.您将获得进一步的授权，并指示根据要求提供口头和书面报告给上述主管和一般援助办公室人员。您将获得进一步的授权并指示通过任何方法传输，包括美国邮政服务，传真和互联网，以及上述主管和一般援助办公室人员可能要求的文件的副本。i特此撤销任何先前已过时的信息以发布信息。X_____________________________________________ ______________________ Client Signature Date X_____________________________________________ ______________________ Witness Signature Date Witness Name: ____________________________
格兰特镇一般和紧急援助
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