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s <br />p X00 PA16F-28 <br />AUG8 ���� GRANT APPLICATION Page 6 of 7 <br />Local Governmental Unit Applying: Indian River County <br />(Toon, County, or City) <br />Delegate Agency Budget - Complete one for each Delegate Agency <br />�'rogram. Name: <br />Name of Delegate agency: Vocational Training Mheltered Workshop In Indian Rive <br />Address: 1385 16th Ave Vero Beach. Fla. 32960 Co. In <br />Conti ct Person: John M. Rezanka <br />Telephone: (305 652-6854 <br />Tal "Xcr.pt :lumber: _59-3.647746 _ <br />(if none, attach a.copy of the certificate of <br />incorporation) <br />,%D:1I'NI3T :ATI`.1E EXPENSES <br />CASH <br />IN -.,:IND <br />1. <br />Salaries <br />1776.00 <br />2. <br />Rental <br />3, <br />Travel ' <br />4. <br />SuRplies_______________ <br />5. <br />Other (specify—on attachment) — _ — — <br />6. <br />TOTAL (lines—l—through_5) _ — — — — _ <br />1776.00 <br />PROGRAM EXPENSES <br />7. <br />Salaries <br />8. <br />Rental --Space _____________ <br />296%50 <br />9. <br />Travel <br />10. <br />Equipment _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />3108.50 <br />11, <br />Other (specify—on attachment) _ _ _ _ <br />4000.00 <br />12. <br />TOTAL (lines_ 7_through_11)_ _ _ _ _ _ <br />10070.00 <br />13. <br />TOTAL EXPENSES-(line-6—and—line 12) <br />11846.00 <br />THE <br />DELEGATE AGENCY HEREBY APPROVES'THIS <br />APPLICATION AND ',ILL COMPLY <br />1T=L li <br />ALL PULES, REGULATIONS AND CONTRACTS <br />RELATING TIIE�IRE L0: <br />APPROVED B. Paul A Barbee <br />President of Board <br />(Signatur(-,) , <br />:vrT::_'_^rD M.: <br />T� 1n r-1. Re- zo n k cN <br />Name <br />Y cr <br />itie <br />M <br />