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EMERGENCY MANAGEMENT PREPAREDNESS AND ASSISTANCE PROGRAM <br /> Form 2 <br /> DETAIL OF CLAIMS <br /> 1. SALARIES AND BENEFITS COSTS <br /> County Costs Incurred During the Period of: / / to / / Claim Number: <br /> Name of Employees Job Title % of Time Salary $ Charged Fringe Benefits $ <br /> Charged to this Grant Charged to this <br /> to this Grant <br /> Grant <br /> TOTALS $0.00 $0.00 <br /> Total Salaries and Benefits Charged to this Grant $0.00 <br />