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A TRUE COPY <br /> GERTIH )UTION ON LAST PAGE <br /> J . K . BfIRTON G ERK <br /> BUDGET PAGE <br /> A. Salaries and Benefits : <br /> For each position title , provide the amount of salary per hour, FICA per hour, other <br /> fringe benefits , and the total number of hours . Amount <br /> TOTAL Salaries N/A <br /> TOTAL FICA N/A <br /> Grand total Salaries and FICA N/A <br /> B . Expenses : These are travel costs and the usual , ordinary , and incidental expenditures <br /> by an agency , such as , commodities and supplies of a consumable nature excluding <br /> ex enditures classified as operating capital outlay ( see next cate o ) . <br /> List the item and, if applicable, the quantity Amount <br /> N/A <br /> TOTAL N/A <br /> C . Vehicles, equipment, and other operating capital outlay means equipment , fixtures , and <br /> other tangible personal property of a non consumable and non expendable nature with a <br /> normal expected life of one 1 ) year or more . <br /> List the item and , if applicable, the quantity Amount <br /> Portable Freezers for Post Arrest Hypothermia Protocol $ 20 , 250 . 00 <br /> TOTAL $ 20 , 250 . 00 <br /> GRAND TOTAL $ 201250M <br /> DH Form 1684 , Rev , June 2002 <br />