| Interstate TRS Fund | ||||||
| Additional Costs Paid to Provider for Calendar Year 2017 | ||||||
| Jurisdiction | Service Type | Provider | Rate Start Date | Rate End Date | Amount | Description |
| January--2018 | |||||||||||
| Approved by OMB | |||||||||||
| OMB Control number 3060-1249 | |||||||||||
| See instructions for public burden estimate | |||||||||||
| If you have questions about the content of these forms, please contact: | Bob Loube | bobloube@earthlink.net | 301-681-0338 | ||||||||
| Please send this completed workbook by February 20, 2018 to: | TRSDataRequest@rolkaloube.com | 717-585-6605 | |||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |