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P.O. Box 830 (270) 6922136 332 Hood Ave. (270)6920446 (fax) Lebanon, KY 40033Central Kentucky CAC Head StartEnrollment ApplicationAPPLICANTS NAME Child's Last NameFirstMiddle Preferred Date of Biosocial
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Box 830270 692-2136 is used for reporting certain types of income to the IRS.
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