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Pg 9 of 11 <br />® Page of _ <br />CSBG SUBGRANTEE BUDGET <br />® (Each subgrantee MUST complete this page) <br />NAME OF APPLICANT: Indian Ri er Count4 40 y <br />NAME OF SUBGRANTEE: Indian River County Houainq Authority <br />ADDRESS: 2001 Buildinq, 2001 9th Avenue <br />• <br />Vero Beach, Florica __ ZIP CODE: AZg6o- <br />CONTACT PERSON: Edward J Regan - <br />TITLEt Executive Director (TELEPHONE) 305/5�7_AnnR �it� 322- <br />•. <br />TAX EXEMPT NUMBER: 03-00017 05 41 <br />(if none, attach a copy of the certificate of incorporation) <br />------------------------------------------------------------------- <br />NOTE: THE FOLLOWING LIN£ ITEMS (11-15 and 23-27) CORRESPOND TO THE SUMMARY BUDGET. <br />SUBGRANTEE ADMINISTRATIVE EXPENSE <br />11. Salaries <br />Including Fringe Benefits ... <br />12. Rent and Utilities .......... <br />13. Travel ...................... <br />14. Other ....................... <br />15. TOTAL (lines 11 through 14) . <br />SUBGRANTEE PROGRAM EXPENSE <br />23. Salaries <br />Including Fringe Benefits ... <br />24. Rent and Utilities .......... <br />25. Travel ...................... <br />26. Other ....................... <br />27. TOTAL (lines 23 through 26) . <br />TOTAL CSBG EXPENDITURES ..... <br />(lines 15 and 27) <br />CSBG <br />FUNDS <br />CASH <br />MATCH <br />IN-KIND <br />MATCH <br />TOTAL <br />950 <br />209 <br />1,159 <br />60 <br />60 <br />25 <br />25 <br />125 <br />125 <br />950 <br />5,141 <br />209 <br />843 <br />210 <br />1,369 <br />5,984 <br />720 <br />720 <br />75 <br />25 <br />100 <br />129 <br />690 <br />819 <br />5,345 <br />843 <br />11-4 3 �5 <br />7 <br />6,295 <br />1,052 <br />1.,645 <br />8.992 <br />The Subgrantee certifies that the data included in the Subgrantee Budget and the Sub- <br />grantee Work Plan are true and correct. The Subgrantee agrees to comply with all rules <br />and regulations relating to the Community Services Block Grant and understands that <br />this budget and work plan will become part of the Agreement between the Applicant and <br />the Department of Community Affairs. <br />APPROVED BY: Daphne K. Str}('kland <br />(-Paea.,deat of the Board) (Signature) <br />Chairperson <br />ATTESTED BY: x'd+-+_rd J. -Ragan - <br />(Nave) <br />Ragan(Name) (Signature) <br />EXeJ +i a iL eCtDr <br />-- -- - - (Title)- <br />