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AUG 81979 41 283 <br />GRANT APPLICATION Page 4 of 7 <br />Name of Applicant: Vocational Training and Sheltered Workshop <br />TOTAL BUDGET <br />I. Include figuros from all delegate agency budgets. <br />2. Explain by attachment all expenditures over $200 per line item. <br />REVENUE <br />1. State Grant <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br />2. Cash -Match -(no -federal -funds, except -revenue-sharing, allowed) <br />3. In -Kind Match <br />4. TOTAL REVENUE <br />- - - - - - - - - - - - - - - - - - - - - - - - - - <br />GRANTEE ADMINISTRATIVE EXPENSE CASH IN-KIND <br />5923.00 <br />2961.50 <br />c�1oi..jv <br />11846.00 <br />5. <br />Salaries <br />6. <br />Rental -Space- - - - - - - - - - - - - <br />_ <br />7. <br />Travel <br />8. <br />Supplies <br />9. <br />Other (specify -on attachment) - _ _ - <br />10. <br />Total (lines -5 -through -9) - - - - - - <br />DELEGATE ADMINISTRATIVE EXPENSE <br />11. <br />Salaries - - - - - - - - - - - - - -- <br />1776.00 <br />12. <br />Rental Space <br />13. <br />Travel---_---_-----___ <br />14. <br />Supplies <br />15. <br />Other (specify -on attachment) _ - _ _ <br />16. <br />Total (lines through 16) <br />1776.00 _ <br />*17. <br />-11 _ _ _ _ _ <br />TOTAL ADMINISTRATIVE COSTS ^(lines 10 <br />1776.00 <br />and 16) <br />18. <br />Salaries <br />19. <br />Rental _Space <br />- <br />2 0 . <br />Travel -- <br />21. <br />Equipment - - - - - - - - - - - - -- <br />---- _�----- <br />22. <br />Other (specify on attachment) <br />23. <br />Total (lines 18 through 22) <br />1776.00 <br />DELEGATE PROGRAM EXPENSE <br />24. <br />Salaries <br />25. <br />Rental Space <br />2961.50 _ <br />26. <br />Travel <br />27. <br />Equipment -------------- <br />3108.50 <br />28. <br />Other (.specify -on attachment) - - - <br />^4000.00 <br />29. <br />Total (lines -24 through 28) - - _ - - <br />10070.00 <br />30. <br />TOTAL PROGRAM EXPENSES (lines 23 -and -29) <br />11846-10- <br />31. <br />31. <br />TOTAL EXPENDITURES (cash -and -in-kind) <br />11.846.00 <br />*Line <br />17 must not exceed 1571 of two times line <br />1. <br />