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GRANT APPLICATION Page 5 of 7 <br />3 - <br />Local Government Unit,,Applying: Indian River County Delegate Agency: Training ng and Sheltered Work <br />1-"- - - <br />C® <br />co CASH AND IN-KIND MATCH <br />I. Cash Match <br />Source <br />1. _General Fund (Donation) <br />2. <br />3. <br />4. <br />II. In -Kind Salaries and Benefits <br />Position Title and Name of Person <br />1. <br />2. <br />3. <br />4. <br />III. Other In -Kind <br />Description and Source <br />1. Building (Nettn CnnatrIA-tinn ro.) <br />0 2. <br />3. <br />4. <br />H <br />0 <br />Amount <br />1. i) <br />2. <br />3. <br />4. <br />Hourly Rate <br />1. <br />2. <br />3. <br />4. <br />Unit Cost <br />$ <br />2 .l� Ft - <br />2. t <br />3. <br />4. <br />Number of Hours <br />To Be Worked <br />1. <br />2. <br />3. <br />4. <br />No. of Units <br />1 • ,x,000 <br />2. <br />3. <br />4. <br />I. TOTAL CASH MATCH i95n_nn <br />Total (Hourly rate x num- <br />ber hours to be worked) <br />1. <br />2. <br />3. <br />4. <br />II. TOTAL SALARIES <br />Total (Unit cost x num- <br />ber of units <br />1. <br />2. <br />3. <br />4. <br />III. TOTAL OTHER <br />IV. TOTAL MATCH <br />$1250.00 <br />