Form Sfy 01 - Home And Community Based Care - Alaska Commission On Aging Page 2

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Alaska Commission on Aging
Home Community Based Care
Project:
Agency Name:
(100) Personnel
How expenses will be paid
ACoA funds by Allotment
Total
Total ACoA
Local
Fees for
Other
Personnel
ACoA
MHTA
Position Title
Request
Match
Service
Sources
Cost
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Totals
$
$
$
$
$
$
$
G:\ACOA\ SFY01 NEW FORMS\ FY01 HCB Cost Proposals
CP 2
8/3/00

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