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<br />~ r A : ~ <br /> <br />~ : ~ A C ~ ~ ~ ~ ~ S <br /> <br />------------------------------------ <br /> <br />HtJ : <br />: .tt. : <br />:~~ <br />: Jl <br /> <br />Fi~l~::li ~Bsi~:ln:e <br /> <br />~Dn <br />?nHu <br />2MSiLCCALr~C <br /> <br />Te~] <br />3~fin r <br />) 1/92: <br /> <br />2n~ <br />>, 11191: <br /> <br />Source 1[ <br />Fund.. <br />)Ujl <br /> <br />!lIlJUnt <br /> <br />~lmt <br />ASslst3.nC~ <br /> <br />Totsl A33lJt.~ee <br />Amount liDH SharAi <br />L5SS,\JiJ: <br /> <br />SiA7S <br /> <br />L5~5,GO: <br /> <br />,JO: <br /> <br />: TDa Docu,ent No. C1DOG753 <br /> <br />TOTALS <br /> <br />1,565.00: <br /> <br />.00: <br /> <br />1.565.00 : <br /> <br />'________________________________________________________'__________________1__________________,_______________________1 <br /> <br />IFeder!1 iunds Ire indielted bl I nusber rro. the Csts!og oi "der!l Dosestic Assi3ta,ee tCFDll, ii !opliclble. <br />RiFER TO BUDGET SiCT10N OF ANY ZERO AMOUNT ATTACHMENT FOi DETA[LS. <br /> <br />COVER. PIge 2 <br />