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Extending the Caribbean Based Cohort to Promote US- Caribbean

Comparisons (Fund #16465)

INVOICE FOR QUESTIONNAIRES DONE

Date :__________________ Invoice # :______________

Name: ______________________
TRN: ___________________

Quan-
Unit cost
Item tity Total Cost Study ID#
2200
Questionnaire J$

600
Travel J$

50
Blood pressure J$

50
Weight J$

50
Height J$

200
Circumferences J$

Totals J$

Checked by: ________________________


Supervisor's Signature

Submitted by: _________________________


Interviewer's Signature

Approved by: ________________________


Principal Investigator

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