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EXHIBIT 2 <br /> TO WHOM IT MAY CONCERN <br /> Subject: Loss of receipts for gas purchase <br /> have misplaced the receipt for <br /> (type of purchase) at (store) issued to <br /> me for the month of <br /> Date of Purchase: <br /> Amount Spent: <br /> I understand that I may be subject to sanctions imposed by Working Wardrobes as per its policies <br /> on supportive services. <br /> Print Name: <br /> Signature: <br /> One-Time Waiver: Should a participant lose his/her receipt,they will be required to complete an <br /> applicant statement with all pertinent information. Should a participant lose a subsequent receipt, <br /> they will be penalized by not being able to obtain another supportive service for a 30-day period. <br />