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4- 11 <br /> REGION 3 BEHAVIORAL HEALTH SERVICES <br /> FY 2019/2020 SPECIAL ONE-TIME <br /> COUNTY MATCH REQUEST <br /> Match Funds <br /> Behavioral Health Programs $ 27,103.87 <br /> Please notify Region 3 in writing utilizing the form below what action has been <br /> taken by your County Board. Please complete, sign and return the following form <br /> to: <br /> REGION 3 BEHAVIORAL HEALTH SERVICES <br /> P.O. BOX 2555 <br /> KEARNEY, NE 68848 <br /> On the day of , 2020 the Hall County Board of <br /> Supervisors approved the FY 2019/2020 Special One-time match request in the <br /> amount of$27,103.87 to be used by Region 3 for behavioral health services in the <br /> Region 3 area. <br /> County Clerk Date <br />