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08-F TDH Contract CO #5
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08-F TDH Contract CO #5
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Last modified
8/29/2012 3:09:45 PM
Creation date
10/6/2004 4:25:28 PM
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Template:
AGENDA
Item Number
08-F TDH Contr CO #5
AGENDA - Type
RESOLUTION
Description
Texas Dept of Health Contract Change Order #5
AGENDA - Date
10/11/2004
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, <br />. , ^ <br />- DETAILS OF ATTACHMENTS <br />Att/ <br />TDH Program ID/ <br />Term <br />Financial Assistanc <br />Direct <br />A <br />i <br />Total Amount <br />TDH Sh <br />Amd <br />TDH Purchase Order <br />stance <br />ss <br />are) <br />( <br />No <br />Number <br />BeB~ <br />End <br />Source of <br />Am <br />unt <br />. <br />Funds* <br />O1B <br />IMM/LOCAI.S <br />O1/O1/04 <br />12/31/04 <br />State 93.268 <br />5 <br />,084.00 <br />0.00 <br />50,084.00 <br />0000001782 <br />02 <br />ACFH/PHC <br />09/O1/04 <br />08/31/O5 <br />15 <br />,558.00 <br />0.00 <br />151,558.00 <br />C038917000 <br />03 <br />OPHP/LPHS <br />09/O1/04 <br />08/31/O5 <br />12 <br />,519.00 <br />0.00 <br />120,519.00 <br />C039254000 <br />04 <br />BNS/WIC-CARD <br />10/01/04 <br />09/30/05 <br />0.00 <br />0.00 <br />0.00 <br />C039512U00 <br />TDH Document No.7560022067 2005 Totals <br />$3 <br />,161.00 <br />$ 0.00 <br />$3221161.00 <br />Chan e No. OS <br />*Federal funds are indicated by a number from the Catalog of Federal Domestic. <br />BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETA] <br />(CFDA), if applicable. REFER TO <br />Cover Page 2 <br />
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