Form 0285-Equipment lis 0285-Equipment lis Equipment List

The Health Center Program Application Forms

equipment list

The Health Center Program Application Forms

OMB: 0915-0285

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DEPARTMENT OF HEALTH AND HUMAN SERVICES



Health Resources and Services Administration


EQUIPMENT LIST

FOR HRSA USE ONLY

Grantee Name


Grant Number


Application Tracking #


Project #


Project Type


Project Title


Type

Description

Unit Price

Quantity

Total Price
























































TOTAL





File Typeapplication/msword
File TitleDEPARTMENT OF HEALTH AND HUMAN SERVICES
AuthorKmesser
Last Modified ByKmesser
File Modified2010-03-19
File Created2010-03-19

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