Laserfiche WebLink
<br /> SECTION 1. APPLICATION (continued) S-6£ <br /> 12. YES I NO At this time, do you anticipate incurring any ongoing eligible cost> relative to this release'! If so, explain briefly anà <br /> include estimaœs of future costs: - <br /> P;l1mp-trPHt I'nntinl1p,; :Inri ""ill likply t.n cnntinl1p for :m p'\TPnnpn pprinn H<; WP nf opinion thM gH<;nlinp from nff-<;itp pntpN projf'oC'! <br /> <;itp Annl1:'1¡ n¡:w>,.,~tinn:ll :mn m',intpmml'p I'n<;t<; ::¡rp :'Irmmn 5;7<;,000 00 <br /> <br /> <br /> <br /> <br /> - <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> , <br /> 13. Provide any general co=t:uts you may have in regard to the reimbursement application being s.ubmitttXl in the spaces below, <br /> ThP Hmnunt rPfp""tNl Ì<; minim:~1 tn nP+'fÌ<; :mri rlnP<; not inrll1r1p I'ity <;1':lff IHhor I'n<;1'<; 'Vp rp<;prvp thp right tn rp<¡1IKt rpimhl1r<;pmpnt <br /> for <;t:'lff <;:~I:'Iry I'n<;t<; M ::¡ l::¡tpr rlMp <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> TIŒ.CC APPLICATION FOR RENBtJRSE.\.1E!'.'T E-Z FOR-\.1 . <br /> .,. <br /> T:-."RCC-O1.3O-EZ (Rev¡5"d 09-01-95) <br />