Page 139

Official source

Amount of 100 percent Federal Funds (includes ABAWD Pledge Funds) $10,294.08 Total Amount of 50/50 (or 75/25) Admin Funds (inclusive of federal and non-federal shares) $92,500.43 Will this contract serve members of Indian Tribal Organizations (ITOs) and be reimbursed at 75%? Yes No 139

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Page 139

Official source

Amount of 100 percent Federal Funds (includes ABAWD Pledge Funds) $10,294.08 Total Amount of 50/50 (or 75/25) Admin Funds (inclusive of federal and non-federal shares) $92,500.43 Will this contract serve members of Indian Tribal Organizations (ITOs) and be reimbursed at 75%? Yes No 139