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Gi <br />GRAN!' APPLICATION Paye 4 of 7 <br />Name of Applicant: Economic Opportunity Council <br />Fiscal Officer Responsihle for Grant: <br />- Name: Mrd, V.2.y�r►s `_ <br />Address: P:O.Box 2 66 e_ro Beach. Florida 32960 <br />Telephone: 305-562-4177 <br />11, TOTAL BUDGET <br />(Include figures from all programs operated) <br />1. FF,VENUF. <br />1. State Grant_ _ - _ _ _ t;� 00 00 <br />2. Can tch (no federal -funds, except seyenu�sharjr�, rad)- ._, 85000. <br />3. In-Ki_nc3Match 01--- <br />-------------- - - - - -- 2.850,(0 <br />4.• TOTAL-E-FNUE--------- <br />------ - - - -- 11,400.00 <br />rRANTEF ADMINISTRATIVE EXPYTISF. <br />5.- Salaries <br />6. ii p--_S-,ace---------------------- <br />n - <br />al ---------------------- <br />7. Trate <br />R. SuAnli-s - _----------'--'-------- <br />9. Other Ts�__ecify on attachment)' - _ - - - - - - - - -- <br />10. Total Tlines_5_throuah_9j _ _ _ _ _ _ _ _ _ -- <br />DELEGATE ADMINISTRATIVE EXPENSF. <br />11. Salaries600.00 <br />12. }dent ---al _ ace -------------------- <br />13. Travel --------- - - - - -- - - - - -- -- <br />14. Su�pl.(ies----------------------- <br />15. Other Specify_on attachment] <br />- - - - - - - - --- - <br />16. Total Tl- -s 11 thro(L <br />ugh 1'6) - - - - - - - - - -- <br />17. TOTAL ADMINiSTRATIVE_COSTS* in __ e 10_and_Line <br />GRANTF,F. PROGRAM FXPFFNSE <br />18. salaries _ -`- _ _ _ _ $1,175.00 Inkind 1, 175.00 _ <br />19. Rental -Space - - - - ---- - - -_ __3412-5-00 <br />---- - - --_ __` <br />20. Travel- _ _$500.00_Inkind I3us Rerlta•1_ _ _ 2.OO(), ()O <br />21. Equipment - - -- - - <br />22. Other Ts�ecifv_ on attachment]- - - - - - - <br />T - <br />23. otal Tlinc-s 18 through 223- _ _ _- - - - - - - - - - <br />DFLFGATF PROGRAM EXPENSE <br />24. Salaries <br />25. Rental Siiace- _ - - - - ---------------- - -- _:f,1_00-00__.__ <br />- - _ _ _ _ _ - _ _ _ _ Inking _ <br />26. Travel - -- <br />27. Tqu-ipment `------------------ - - - <br />- -- 49500 _ <br />,_ _- <br />28. Other. TIin-s 2 on - _cj lmen_t) _ - _ Head- _ <br />29. Total Tline.s 29 through 28) _ - ` - -- <br />-- --------- -----------------6-45Qw_ <br />30. TO'T'AL PROGRAM EXPENSES (Line 23 and line 29) <br />]•0 B09�Q_ <br />31. TOTAL EXPENDITURES (Line_17 and line 30) -_ _ !.,4QQ.QQ- <br />NOTE: TOTAL REVENUE MUST EQUAL TOTAL EXPENDITURES 1 <br />*May not exceed 158 of 2 times the state grant, i t <br />EXAMYLFi State Grant .10,000 r1 <br />Cash Match 5,000 <br />In -Kind Match 10,000 <br />TOTAL REVENUE 25,0(10 ; <br />