Box 3, Folder 2, Document 6

Box 3, Folder 2, Document 6

REMOVE AND USE FOR DRAFT COPY

APPLICANT GRGANIZATION APPLICATION NUMBER

ATLANTA CHILDREN AND YOUTH SERVICES COUNCIL





OTHER GRANT SUPPORT
INSTRUCTIONS: List all other support for this project, including requests now being considered by PHS. Amounts shown should re-
flect total funds awarded or pending over the entire grant period indicated in the final column. Use continuation page, if necessary,
and follow same format.



PUBLIC HEALTH SERVICE SUPPORT



SENT Ue Ee TITLE OF ACTIVE OR APPROVED PROJECT TOTAL AMOUNT POT RE ERION DF SUREORE
(If designated) 2 2 rah nS GIVE DATES (FROM—TO)





314 (e) (1) COMMUNLTY DEVELOPMENT AIDE $565,425 May, 1968 -
PROJECT (RODENT CONTROL) May, 1971









APPLICATIONS PENDING DECISION (Give title and requested amount)



ALL OTHER FEDERAL AND NONFEDERAL SUPPORT [RELATED TO THIS PROJECT)



TOTAL PERIOD OF SUPPORT
GIVE DATES (FROM-TO)

SAG Iner ne. TITLE OF PROJECT OR PROGRAM TOTAL AMOUNT













APPLICATIONS PENDING DECISION (Give title and requested amount)





PHS-—4685-1 (PAGE 5)
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