Page 148

Official source

Amount of 100 percent Federal Funds (includes ABAWD Pledge Funds) $22,122.85 Total Amount of 50/50 (or 75/25) Admin Funds (inclusive of federal and non-federal shares) $147,342.00 Will this contract serve members of Indian Tribal Organizations (ITOs) and be reimbursed at 75%? Yes No 148

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Page 148

Official source

Amount of 100 percent Federal Funds (includes ABAWD Pledge Funds) $22,122.85 Total Amount of 50/50 (or 75/25) Admin Funds (inclusive of federal and non-federal shares) $147,342.00 Will this contract serve members of Indian Tribal Organizations (ITOs) and be reimbursed at 75%? Yes No 148