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Get North Carolina Dss 2517s Form

Act ID #: 00XXX-02 Amendment #: 1 12/6/01 Date Signature of Authorized Official SECTION II. Object/Item (1) Equipment Original Budget Amount (2) 5,980 Increase/(Decrease) (3) (895) Revised Amount (4) 5,085 Supplies 1,350 625 1,975 Printing 1,080 270 1,350 8,410 0 8,410 Other: Total SECTION III. Justification: Equipment can be reduced because of the donation of a camcorder to the Agency. Printing and Supplies need to be increased because needs are exceeding the budget for repri.

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