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DETAILS OF ATTACHMENTS <br /> <br />Atff I TDH Program ID/ Term Financial Assistance Direct Total Amount <br />Amd , TDH Purchase Order Assistance (TDH Share) <br /> <br />No. Number Begin End Source of Amount <br /> Funds* <br /> ACFHIPHC 09/01/03 08/31/04 State 151,558.00 0.00 151,558.00 <br />0lA 0000001134 <br /> BNS/WIC-CARD 10/01/03 09/30/04 93.268 10.557 0.00 0.00 O.OO <br />02 0000001391 <br /> OPHP/LPHS 09/01/03 08/31/04 State 93,991 120,519.00 0.00 120,519.00 <br />03 0000001013 <br />TDH Document No.7560022067 2004 Totals $272,077,00 $ 0.00i $272,077.00 <br />Chanl~e No. 03 <br /> <br />*Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance (CFDA). if applicable. REFER TO <br />BUDOET SECTION OF ANY ZERO AMOUNT ATTACH2vlENT FOR DETAILS. <br /> <br />Cover Page 2 <br /> <br /> <br />