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Page 8 of 8 <br />SUBGRhNTEE BUDGET <br />(Each Subgrantee must complete this page. <br />omit this page if there is no subgrantee.) <br />NAME OF APPLICANTS Indian River Count <br />NAME OF SUBGRANTEE: ind River County Housing Authority <br />MAILING ADDRESS OF SUBGRANTEE: 1028 20th Place Suite C <br />Vern Beach F10116q Zip Code: 329b0 <br />STATE TAX EXEMPT NUMBER OF SUBGRANTEE: y� nS-n77F,y7_S�[' <br />(If none, attach a copy of the certificate of incorporation) <br />CONTACT PERSON: <br />TITLES Executive Director TELEPHONES (407) 770-5014 <br />NOTES The following line items (11-15 and 23-27) must correspond to the <br />CSBG BUDGET SUMMARY of the applicant. If there is amore than one <br />subgrantee, it is the applicant's responsibility to ensure that <br />the total of all Subgrantee budgets add correctly. This form <br />requires original signatures. <br />■uuaaaaaaasasuaa"Mouses aaaaaas"aaaara <br />Bonds aso ■■ <br />asauaaauoarrsrauaauaaaaaaasasr■$■afar$$$ <br />I <br />(1) CS60 I <br />(2) CASH I <br />(3) IN-KIND I <br />I <br />1 CSBG FUNDED PROGRAMS ONLY <br />NATCN I <br />(i) TOTAL I <br />l EXPENSE CATEGORY ( <br />IUNOS ( <br />MA1CH I <br />l aanasausaassaraffsfsrassaarfff fffrffrafaalssafsasaraaaaalaaaaraaaaaaalaafaffurauua <br />lauasafauu <br />SUBGRANTEE ADMINISTRATIVE EXPENSES I <br />I <br />I <br />1 IT. Salaries inclining fringe.....................1 <br />1 <br />209 I <br />I <br />..... ....i. <br />1 035 <br />...:.� ...i <br />1.12..Rent.erxl Utilities ...........................:j.....!lib....i..............i, <br />l.......................... <br />60 <br />..,.. <br />.............j..............1......25.... <br />1........ <br />��..."1 <br />1.13. Travel........................................i. <br />.Other <br />125....-I•..... <br />125.... <br />1.14........................................................i.............•1• <br />"i•- <br />... .I• <br />1 ......... .......................................... 1....... <br />,....... <br />I.. <br />1 1 <br />210 I <br />111245 I <br />i 15. SUBTOTAL (lines 11 through 14) ................I <br />826 <br />aaaa rail <br />209 <br />au Eggs agags a I <br />vaaaassssaasa la <br />a a n log age any <br />lam af Runs soon ■agas a oa onus■of a a as arias Noonan al <br />Sam fwon <br />1 <br />1 SUBGRANTEE PROGRAM EXPENSEt ( <br />I I <br />843 1 <br />1 <br />5,829 1 <br />1 23. Setaria$ including fringe.....................1 <br />4,986 <br />1 <br />•............1. <br />20....•1•......720...•1 <br />1 24.•Rent•and Utilities............................i...............i. <br />.I• <br />.1 <br />....1 <br />...............1... <br />75 <br />.I.. <br />I <br />..,.7 <br />1 <br />25.... 1 <br />1 25. Travel........................................1 <br />...... <br />......1W... <br />j26. <br />...i.... <br />......... <br />I <br />Other.........................................�.......12y <br />-I...............I <br />1 ............. .........•............................ <br />1 27. SUBTOTAL (Lines 23 through 26) ................1 <br />I...............I....... <br />5,190 <br />........I•.....6�.....1.819 <br />.1. <br />1 843 <br />1 1,435 <br />1 1,468 1 <br />iaaaaaaraaaacsaraaarszarss sasassasaass azsas:aaslaasaaaaasssas laaaaaaaassaslrsaaaaaaal <br />srassssaasssaal <br />1 8,713 I <br />i TOTAL EXPENSE: (Line 15 • Line 27) ...............1 <br />6,016 <br />1 1,052 <br />1 1,645 <br />azzasaaasaasarnerassaaaaenzeseasaaaaaaarasssaszas:saasnssraaassa:aaa:seaszssssaas:szsassnasaassszszaasssaaasasasszszs <br />The subgrantee certifies that the data included in the Subgrantee Budget and <br />the Subgrantee Work Plan are true and correct. The subgrantee agrees to <br />comply with all rules and regulations relating to the Community Services Block <br />Grant and understands that this budget and work plan will become a part of the <br />Agreement between the Applicant and the Department of Community Affairs. <br />Approved by: <br />Attested by: <br />(President of the Board) <br />.. Name <br />Signature <br />Signature <br />Date <br />Date <br />