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GrV•.a. ADPL -CAT ICN Pace'' 6 of 7 -OCT-! 6.1982 ..E <br />_i. <br />Loci: Gc•: er-.-en _a_ r. _ -'�:- INDIAN RIVER CCUNTY <br />1r <br />zz <br />. •yam•- c• re.r V a .r��^`: • <br />P "Cgr am Name: DEVELOPMENTAL TRAINING <br />Yate of Deleca1e Ageac.,r. Vocational Training and Sheltered Workshop in Indian <br />•�� :255: 1385 16th Ave, VeroRBeach, Flay1296953_ <br />Contact Person: Richard Szott <br />Telephone: (305 } 562-6854 <br />Tax Exempt V, =b 59-164-7746 <br />Z none, attacs a ccmmv of the c-rti._Cato of <br />incorporation) <br />eiC:°SIYiSTR,�T�T E:�?r.iSES <br />1. Sa l axles <br />2. Rental . <br />3. Travel <br />• 4: Supplies <br />5. Other (spec -42 on attach=ent) <br />6. TOTAL (lines 1 through 5 ) <br />CASE <br />PRCG?-3,.`2 EYPEVSES <br />7. Sal ari ss <br />8. Rental 1529.75 <br />9. Travel •: - <br />10- Egnipment 2789.25 <br />Other (specify on attachment) •1800.00 <br />12. TOTAL ( lines 7 through 11) .4589.25 1529.75 <br />13 . TOTAL EXPENSES ( line 6 and line .12) 4589.25 <br />TOTAL BUDGET 6119.00 <br />THZ DELEGATE AGENCY HEREBY APPROVES THISArF���I-'r0,a:JD WILL CCtiPLY <br />Wl'"H ALL RULES, 'REGULATIONS AND CONTRAC''•S �'LATZNG ��',TO <br />APPROVED BY: Franklin H. Cox ��1 <br />President of Board (Signatu_e) <br />Typed Name -/-7 <br />riTTESTE*D 3Y; Richard Szott Lit LAM ���--.� 1 <br />Typed Name (S 19nal tu= e) (� <br />Executive Director�Acting <br />Title <br />