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MAR 191980 GRANT APPLICATION Page 6 of 7 BOOK 43 PAct11.0 <br />f <br />Local Governmental Unit Applying: Indian River County <br />_ (County or City) <br />Delegate Agency Budget - Complete one for each Delegate Agency <br />Program Name: Lawn Maintance Training <br />Name of Delegate Agency: Vocational Trajn;np, and Sheltered WorkGhop <br />Address: 1385 16th Ave Vero Beach Zip: 32960 <br />Contact Person: <br />Telephone: 1305 ) 562-6854 <br />Tax Exempt Number: 59-164 6 <br />if none, attach a copy of the certificate of <br />incorporation) <br />ADMINISTRATIVE EXPENSES CASH IN-KIND <br />1. Salaries <br />2. Rental <br />3. Travel <br />4. Supplies <br />5. Other (specify on attachment) <br />6. TOTAL (lines 1 through 5) <br />PROGRAM EXPENSES <br />7. Salaries <br />8. Rental Space <br />9. Travel <br />10. Equipment <br />11. <br />Other <br />(specify <br />on attachment) <br />12. <br />TOTAL <br />(lines 7 <br />through 11)' 3750.00 1250_.00 <br />13. <br />TOTAL <br />EXPENSES <br />(line 6 and line 12) 3750.00 1250.00 <br />Explain by attachment all expenditures <br />over $500. TOTAL BUDGET 5000.00 <br />THE DELEGATE AGENCY HEREBY APPROVES THIS APPLICATION AND WILL COMPLY <br />WITH ALL RULES, REGULATIONS AND CONTRACTS RELATING, -THERETO: <br />APPROVED BY: <br />Pa»1 ARarhee . <br />President of Board (Signature) <br />ATTESTED BY: T11,, M 12eZela,�.. <br />Name <br />_D1 Y PC. 4 Y' <br />Title <br />