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United States Department of Agriculture
Red Lake Food
Distribution Program
Minnesota Department of Job and Family Services (MDJFS)
Commodity Supplemental Food Program (CSFP) Certification Form

Please read the following statement on the application carefully, then sign the form and write in today’s date.  The application is being completed in connection with the receipt of Federal Assistance.  Program officials may verify information on this form.
P. O. Box 253
Redby, MN  56671
Business No.:  218-679-3720
Fax:  218-679-2185
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Commodity Supplemental Food Program (CSFP) Certification Form
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