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Brief explanation and basis for determining cost of services. Attach additional sheet if needed.) 10 LIST REFERENCES TO CORRESPONDENCE RELATIVE TO THIS WORK (Requesting agency only.) (50) 11 DURATION OF AGREEMENT 12 CONTINUING THROUGH EFFECTIVE DATE (From) METHOD OF PAYMENT REIMBURSEMENT ADVANCE OF FUNDS BILLING FREQUENCY 13 APPROPRIATION SYMBOL AND TITLE 14 PROJECT, ALLOTMENT, OR WORKPLAN NO. (As applicable) FINANCING (REQUESTING AGENCY --- WHEN SERVICED BY NFC) AGENCY CODE FUND.

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