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1nn,R �/►R � G1:ILNT APPLICATION Page 4 -f 7 <br />MAR 91980 aoo�: 43 :PAcE 10$ <br />Name of Applicant: _ Indian River County - <br />(City or County) <br />TOTAL BUDGET <br />A. <br />Include <br />figures from all <br />delegate agency <br />budgets. <br />B. <br />Explain <br />by attachment all <br />expenditures over $500 per line item. <br />REVENUE <br />1. State Grant_ _ _ _ _ 2500.00 <br />2. Cash Match (no_federal,funds, except_revenue_sharing, allowed) 1250 00 <br />3. In -Kind Match 125.0.00 <br />4. TOTAL REVENUE_________________ 5000.00 <br />GRANTEE ADMINISTRATIVE EXPENSE CASH IN-KIND <br />5. <br />Salaries <br />6. <br />Rental Space <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 />12. <br />Rental Space <br />13. <br />Travel <br />14. <br />Supplies <br />15. <br />Other (specify on attachment) <br />16. <br />TOTAL (lines 11 through 16) <br />*17. <br />TOTAL -ADMINISTRATIVE EXPENSES (line 10 <br />and 16) <br />GRANTEE PROGRAM EXPENSE * <br />*Line 17 -must not exceed 15% <br />of two times line 1. <br />18. <br />Salaries <br />19. <br />Rental Space <br />20. <br />Travel <br />21. <br />Equipment <br />22. <br />Other (specify on attachment) <br />23. <br />TOTAL (lines 18 through 22) <br />DELEGATE PROGRAM EXPENSE <br />24. <br />Salaries <br />5�n_an <br />25. <br />Rental Space <br />1250700 <br />26. <br />Travel <br />250_n0 <br />27. <br />Equipment <br />2000.00 <br />28. <br />Other (specify on attachment) <br />29. <br />TOTAL (lines 24 through 28) <br />3750.00 <br />30. <br />TOTAL PROGRAM EXPENSES (lines 23 and <br />29) <br />3750.00 1250.00 <br />31. <br />TOTAL EXPENDITURES (cash and in-kind) <br />32. <br />TOTAL COMBINED EXPENDITURES (cash and <br />in-kind) <br />5000.00 <br />