This government document is issued by Department of Corrections for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://gdc.georgia.gov/document/document/sending-food-package-your-loved-one-0/download&sa=U&ved=2ahUKEwjp6KTO5ZmHAxWhgf0HHd8ACVg4KBAWegQIBBAB&usg=AOvVaw2eUSS2uVNwIVHRt-lgMkrL&fexp=72519171,72519168