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A► <br />40 <br />1U. bUUUt:I <br />CATEGORIES <br />APPLICANT <br />STATE I <br />TOTAL <br />MATCH <br />FUNDS <br />Expenditures <br />$ <br />$ <br />$ <br />TOTAL EXPENDITURES <br />$ <br />$ <br />$ <br />Equipment <br />(2) ALS 158" Wheelbase Ford E350 <br />$ 40,000.00 $ 120.000.00 $ 160,000.00 <br />Super Duty Ambulances <br />TOTAL EQUIPMENT COSTS <br />$ 40,000.00 $ 120,000.00 <br />$ 160,000.00 <br />GRAND TOTAL <br />$ 40,000.00 $ 120,000.00 <br />$ 160,000.00` <br />—" <br />�51'ercenl 7'i Percont <br />TOTAL <br />