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<br />DETAILS OF ATTACHMENTS <br /> <br />AttJ DSHS Program 10/ Term Financial Assistance Direct Total Amount <br />Amd DSHS Purchase Assistance (DSHS Share) <br />No. Order Number Begin End Source of Amount <br /> Funds* <br />01C IMM/LOCALS 01/01/04 08/31/05 State 93.268 83,433.00 0.00 83,433.00 <br />0000001782 <br />02 ACFHlPHC 09/01/04 08/31/05 State 151,558.00 0.00 151,558.00 <br />C038917000 <br />03 OPHPILPHS 09/01/04 08/31/05 State 93.991 120,519.00 0.00 120,519.00 <br />C039254000 <br />04 BNS/WIC-CARD 10/01/04 09/30/05 10.557 93.268 0.00 0.00 0.00 <br />C039512000 <br />DSHS Document No.7560022067 2005 Totals $355,510.00 $ 0.00 $355,510.00 <br />Change No. 06 I . <br /> <br />~ <br /> <br />*Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance (CFDA), if applicable. REFER TO <br />BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS. <br /> <br />Cover Page 2 <br />