Re RFO Attachment 1 11 2017 Redacted PDF
Preview Re RFO Attachment 1 11 2017 Redacted
Office of Administration Commissioner's Office Contract Period July 1, 2015 - June 20,2046 “Request for Preauthorization for Other Services” ‘rogram: alternatives to Abortion Contrsetor:__Alianc for ife- Missoue, 1a Subeontractor._Sethany Christin Services of Missuxat ease enter bslow the information fr ech tem/service lo pursed isthe date of purciae, Sera to ba purchased, cust for dhe item and the jestfcston, Items must be appruved befire purchased provided mn bereiriburced Gt or ta ShW6 Proposed Purchase Date ten Tora Gast jstication, ited Gacnds format estimate | other sources 2F using From provider of thachave boon _ services) atiempzae TAg/20:7 | amor GarPapmone | #0735 ‘Gent works al tie bts coven ave ter bavbyle sin Decent eset, Shoes norhave ald nrateriy eave and tees assistance paping tec earpojnent nan tas anand herb? yeas Sve Ske ae ea seevkerdwnrker She a een cotta le volved he ‘ea program ands ter earls sce May abhecthehas needed wenvlite assistance Dll ving her baby ‘Them sneno other ; | fimcing sources availa the ervato help with tis eed \ t “in To Te reba borsee tase Alliance for hfe Program, Aporaved forpurchase: Purchase denied: Reasun for denying purchase:
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