OPINION BY JUDGE MENCER, March 3, 1976:
Charlotte M. Young (appellant) applied for public assistance from the Department of Public Welfare (DPW) on December 13, 1974. At that time she informed DPW that her husband, from whom she was separated, was in arrears on a support order entered in the Court of Common Pleas of Lancaster County. Appellant was asked to sign a form known as "PA 173-C," which is an agreement to repay DPW in the event support payments are again forthcoming...
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