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Application for Funding Assistance ATRUE COPY <br /> - —001-1 - - =avtr Worcemen — - <br /> - - Assistance Grant - county=wide <br /> General Financial Info : <br /> Note : All financial remittances will be sent to the Chief Financial Officer <br /> of the Subgrantee Organization , <br /> Financial Reporting Frequency for this Subgrant : Monthly <br /> Is the subgrantee a state agency ? : No <br /> FLAIR I Vendor Number: 596000674 <br /> Budget: <br /> Budget Category Federal Match Total <br /> Salaries and Benefits $ 10 , 000 . 00 $0 . 00 $ 10 , 000 . 00 <br /> Contractual Services $ 0 . 00 $0 . 00 $ 0 . 00 <br /> Expenses $47 , 934 . 00 $0 . 00 $47 , 934 . 00 <br /> Operating Capital $ 0 . 00 $ 0 . 00 $0 . 00 <br /> Outlay <br /> Indirect Costs $ 0 . 00 $ 0 . 00 $0 . 00 <br /> -- Totals was $579934.00 $0 .00 $579934.00 <br /> Percentage 100 . 0 0 .0 100 . 0 <br /> Project Generated Income : <br /> Will the project earn project generated income ( PGI ) ? Yes <br /> PGI Reporting Frequency : Quarterly <br /> Application Ref # 2013-JAGC- 1870 Section #4 Page 1 of 3 <br /> Contract -JAGC- INRI - - - <br /> Rule Reference 11D-9 . 006 OCJG-005 (rev . April 2005) <br />