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Donnelly Fire/Rescue Department
Fire Department
,
Rescue Squad
Contact Information
Phone
(320)246-3225
Email
dnly@runestone.net
Location
Donnelly City Hall ( PO Box 64)107 3rd St Donnelly, MN 56235
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Training Equipment Request
Contact Name
(Required)
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Last
Agency
(Required)
Phone
(Required)
Email
(Required)
Items Requesting
(Required)
CPR Manikins (3)
Trauma Leg (3)
Airway Manikin (3)
Simman ALS (1)
Amount Requesting / Additional Notes
(Required)
Date Needed
(Required)
Return Date
(Required)
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Grant Reimbursement Form
Name of Grant(s) Received
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Name / Organization
(Required)
Contact Information
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(Required)
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Last
Phone
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Email
(Required)
Address
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Grant Award Email and Receipts
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Grant Application Form
Grant Applying For
(Required)
Training Grant
Equipment Grant
Communications Grant
EMT/EMR Initial Reimbursements
EMT/EMR Refresher Reimbursements
Conference Reimbursements
Other
If other:
(Required)
Name / Organization
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Contact Information
Name
(Required)
First
Last
Phone
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Email
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Address
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Street Address
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Alabama
Alaska
American Samoa
Arizona
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Idaho
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Northern Mariana Islands
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Pennsylvania
Puerto Rico
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South Carolina
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Plans for Grant
(Required)
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Submit A Job
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Submit A Sale
Item
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Item Type
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Description
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Event Contact Information
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First
Last
Organization
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Phone
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Email
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Last
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Photo Attachment
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