DEPARTMENT OF HEALTH AND HUMAN SERVICES |
FOR HRSA USE ONLY |
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Application Tracking Number |
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Grant Number |
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Project Number |
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Project Type |
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Project Title |
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List of Equipment |
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Type |
Description |
Unit Price |
Quantity |
Total Price |
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[_] Clinical [_] Non Clinical [_] Mobile Van |
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[_] Clinical [_] Non Clinical [_] Mobile Van |
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[_] Clinical [_] Non Clinical [_] Mobile Van |
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[_] Clinical [_] Non Clinical [_] Mobile Van |
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|||||
[_] Clinical [_] Non Clinical [_] Mobile Van |
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Total |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | SBHCC Forms in WORD Format |
| Author | Kinny Padh |
| File Modified | 0000-00-00 |
| File Created | 2021-01-29 |