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BUDGET PAGE <br />A. Salaries and Benefits: <br />For each position title, provide the amount of salary per hour, FICA per <br />hour, other fringe benefits, and the total number of hours. <br />Amount <br />TOTAL Salaries = <br />$ 0.00 <br />TOTAL FICA & Other Benefits = <br />Total Salaries & Benefits = <br />$ 0.00 <br />B. Expenses: These are travel costs and the usual, ordinary, and incidental expenditures by an <br />agency, such as, commodities and supplies of a consumable nature excluding expenditures classified as <br />operating capital outlay (see next category). <br />List the item and, if applicable, the quantity <br />Amount <br />King Vision Laryngoscopes and Blades <br />$24,659.00 <br />Total Expenses = <br />$ 24,659.00 <br />C. Vehicles, equipment, and other operating capital outlay means equipment, fixtures, and other <br />tangible personal property of a non consumable and non expendable nature with a normal expected life <br />of one (1) year or more. <br />List the item and, if applicable, the quantity <br />Amount <br />Total Vehicles & Equipment = <br />$ 0.00 <br />Grand Total = <br />$ 24,659.00 <br />DH 1684, December 2008 <br />2 <br />