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0 <br />�. ,j- .c._ ,.._h -.Y -*5+.: .'"T¢'.�T �r .. .__t -s••-_.– !y`:'J. ..� .-' -tr. r .z_' .... ...: <br />-n -GRANT APPLICATION Page 6 of 7 <br />t <br />-j <br />I <br />1 <br />i <br />Local �-overnTnental Unit Applyina: Indian River County Commission <br />_ town, county, or city <br />13.CONTRACTTTAL I*TFORMATTnN - Complete one for each Delegate Agency _ <br />ieneral <br />Name of. Deleaate Aaency: Vero Beach YMCA <br />Address: 3705 16th St. Vero Beach, Fla. 32960 <br />Contact Person: Terrence D. Marr <br />Telephone: (305) 562-9037 - <br />Tax Exempt Number:* 05-00162-00-41 <br />*If none, attach a copy of the certificate of incorporation <br />DELEGATE AGENCY BUDGET FOR THIS PROGRAM <br />ADMINISTRATIVE RXPFNSFS <br />1. Salaries1100inkind 16hrs.at3 . 1,136.00 <br />2. Rental Sp _ _ _ _ _ _ ___ _ ____ <br />cae ` ` <br />3. Travel ---------------------- — <br />40.00 <br />4. Supplies --------- __—_�_-----26.00 <br />— <br />5. Other Tspecify on attachment? _ _ — _ — — — <br />6. *4.bYAL Tline—s 1 tFiroucrh 5f — — — — ` — — ` ` 1,202.00 <br />PROMPAfii FX.PFNSFS <br />7. Salaries _ _ --- — _ — 2000 in kind 5,600.00 <br />8. Penntal—_Space--------------------- 1,00.00 <br />9. Travel—`---'-`--- <br />"63'�6- <br />11 Equipment ------````-- 25.00 <br />11. OtFier Tspecify on attachmen_tf_ ` — — ` — — ` — ` ` ` ` 200.00 <br />12. TOTAL Tlines 7 tFirouah 11) _— — — ` — — — ` — U 109U. 00 <br />13. TOTAL EXPENSES—(line-6—and—line 12) — — — — — — — — — 9,292.00 <br />*Mav not exceed 15% of line 13. <br />. 4 <br />a <br />THE DRLF.GA.TF. ArF.*TCY HEREBY APPR.OVFS THIS APPLICATION AND WILL COMPLY <br />WITH ALL RFTLFS, PEGTTLATTONS AND CONTRACTS RELATING THERETO: <br />APr?nVFD Pv: Executive Director YMCA j <br />(Title. Slanature) <br />ATTESTFn Tiv: Administrative Secretary_ <br />Title S.icln, ure <br />APR 191978 <br />Page 6-C <br />•wr-va.�ans.••–•+-••veer. <br />• .. riyfA.f,E^flsVvina'–�'^esu <br />■ f�aana�e+tmwraemxa.w..ew�...ww.—..—.....�...�... __.. __ - .- <br />34 fuF.3,50 <br />