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Grant Document Routing
47
Start date: 12/4/2014
From: Teresa Hewett, Finance Department (7408)
Signatures required:
isa Wurtzbacher, Finance Director
Woody White, Chairman
Return to Teresa Hewett, Finance Department (7408)
Type(s) of document(s) attached:
1 original — Home Community Care Block Grant County Funding Plan — Interim is
service provider
Explanation of document(s):
Attached is a grant adjustment form for the HCCBG In -Home Aide services provided by Interim.
The amount of the grant is not changing. The breakdown between service levels is the only
change. I have attached the original award form that was signed in June. Please let me know if
you have any questions. Thank you, Teresa
PICKED UP BY:
Print Name & Date
Signature
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