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Type " Orgarxzation am Program Name <br /> UNIFORM GRANT APPLICATION <br /> FUNDER SPECIFIC BUDGET <br /> PROGRAM EXPENSES <br /> AGENCY/PROGRAM NAME : Right Choice <br /> FUNDER : A B C <br /> FY 04105 FY 04105 % OF <br /> TOTAL FUNDER TOTAL VS. <br /> PROGRAM SPECIFIC FUNDER REQUEST <br /> BUDGET BUDGET col. B/col. Aj <br /> EXPENDITURES <br /> 21 Salaries 399141 .00 399141 .00 100 .00% <br /> 22 FICA 21994. 29 29994.29 100 . 00% <br /> 23 Retirement 1 ,076.00 19076.00 100 .00% <br /> 24 Life/Health 49500.00 49500a00 100 .00% <br /> 25 Workers Compensation 483 .00 483.00 100 .00% <br /> 26 Florida Unemployment 0 .00 0.00 #DIV/01 <br /> 27 TraveWaily 750 .00 750.00 100 .00°/x, <br /> 28 Travel/Conferences/Training 500 .00 500.00 100.00% <br /> 29 Office Supplies 1 ,042.00 1104100 100.00% <br /> 3o Telephone 600.00 600 .00 100 .00% <br /> 31 Postage/Shipping 250.00 250.00 100.00% <br /> 32 Utilities 11000 .00 17000.00 100.00% <br /> 33 Occupancy (Building & Grounds 29400 .00 27400 ,00 100000% <br /> 34 Printing & Publications 17238 .00 19238.00 100.00% <br /> 35 Subscription/Dues/Memberships 0 .00 0.00 #DIV/01 <br /> 36 Insurance 0.00 0 .00 #DIV/0 ! <br /> 37 E ui ment:Rental & Maintenance 750.00 750 .00 100 .00% <br /> 3s Advertising 0 .00 0.00 #DN/0! <br /> 39 Equipment Purchases: Ca ital Expense 0 .00 0.00 #DIV/0 ! <br /> 4o Professional Fees ( Legal, Consulting) 0 .00 0 .00 #DIV/0 ! <br /> 41 Books/Educational Materials 0 .00 0 .00 #DIV/01 <br /> 42 Food & Nutrition 0 .00 0 .00 #DIV/0 ! <br /> 43 Administrative Costs 0.00 0 .00 #DIV/0 ! <br /> 44 Audit Expense 0 .00 0.00 #DIV/0 ! <br /> 45 Specific Assistance to Individuals 0.00 0 .00 #DIV/01 <br /> 46 Other/Miscellaneous 0.00 0 .00 #DIV/0! <br /> 47 Other/Contract 139276 .00 13,276.00 100 .00% <br /> 48 TOTAL $ 709000 .29 $ 709000 .29 1 100 .00% <br />