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Docusign Envelope lD: 1D7E1DA7 4976-488D-gEFo-BEDFgFE584EB <br />Dentistlink Roster <br />Jan - March <br />April - June <br />31 -Jan $100.00 $100.00 <br />Community Outreach RePort $1,298.00 $1,298.00 <br />Coordinate Care for Patients $324.00 $324.00 <br />Development Care $2,000.00 $2,000.00 <br />October - December Total $t,722.09 $3,722.00 <br />Coordinator Meeti ng Attendance 30-Apr $1,000.00 $1,000.00 <br />Community Outreach RePort $1,298.00 $1,298.00 <br />Coordinate Care for Patients $324.00 $324.00 <br />Coalition/Steering Comm ittee Tasks $500.00 $500.00 <br />January - March Total <br />Dentistlink Roster 31-Jul <br />1 <br />$100.00 <br />122.04 <br />100.00 <br />Community Outreach RePort $1,298.0q $1,298.00 <br />Coordinate Care for Patients $324.00 $324.00 <br />Coordinators Meeting Attendance $1,000.00 $1,000.00 <br />April - June Total $2,722.00 $2,722.00 <br />SFY Total Amount $12,688.00 $12,688.00 <br />Total Budget $25,376.00 <br />HCA Contract No. K7461-2 Page 8 of 14