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offQApplicant: Tt1UI1lPL1iI}[EIt_Lfl(111TY <br />AUG <br />41980 (City or County) <br />44 X26 <br />BOOK PAGE <br />TOTAL BUDGET <br />Include figures from all delegate agency budgets. <br />; <br />A, <br />Explain by attachment all expenditures over $500 per <br />line item. t <br />C. <br />Cash match must be at least one half of state grant requested. <br />D. <br />The cash and in-kind match combined must equal the state <br />grant. <br />REVENUE <br />3 <br />1. <br />State Grant <br />_ 3146.50 <br />2. <br />C .5b Uatcb (uQ J1Qd :zz1 funs, czz2pt rQy2aue 5baziDg1 <br />allowed) 1573.25 <br />3. <br />in -Kind Match <br />1573.25 <br />.1 - <br />T;7TAL REVENUE <br />,ItA:-(TEF. ADMINISTRATIVE F:XPFNSF CASH <br />IN-KIND <br />5. <br />Salaries 712.75 <br />1573.25 <br />G. <br />_!! <br />RenLal Space <br />7 . <br />T-nivel <br />Supplies <br />9. <br />ULhur (specify on attachment) <br />10. <br />TOML (lines 5 through 9 ) 4719.75 <br />1573.25 <br />DLL GATE ADMINISTIUNTIVE EXPENSE <br />11. <br />Salaries -0- <br />-0- <br />12. <br />Rental Space <br />i3. <br />Trave1 <br />11. <br />supplies <br />15. <br />Other (specify on attachment) <br />1u. <br />;V'1':1L (lines 11 through 16) <br />*17. <br />TJT_-�L t-OLMINISTRATIVE EXPENSES Q <br />-n - <br />(line 10 and 16) <br />*Line 17 must not <br />exceed 15% of <br />two times line <br />1. <br />yIL::I'1'iE PROGh. 111 I;X1'::NSE <br />13. <br />Salaries <br />1.9. <br />Pental SpacC: <br />20. <br />Travel <br />ll. <br />Lquipment <br />2'.). <br />Other (specify on attachment) <br />23. <br />TOTAL (lines 18 through 22) <br />DFI,,';"GATE PROGRAM EXPENSE <br />21.Salaries <br />_4�� <br />1573.? <br />25. <br />Rental Space <br />r <br />26. <br />Travel <br />�7. <br />Equipment <br />'8. <br />Other (specify on attachment) <br />'I'Ol'1'AL { 1 Llli': 24 f".hi-ou,jh 2.8) /�'(lr�r�rj _ <br />(�'•„ <br />(l.111e:6 <br />157 <br />e <br />) x`11`1.7`, <br />r ( • , <br />S CCIMBiNET) EXPENDITURES C sh and <br />_._.._ _ ... . __...... _ ._ <br />in -rind) <br />6 s.UU <br />(i.i"C' 2 shouto oqual line 4) <br />-` <br />