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\ GRANTNAhiE: RFTYCiTN( , ID[Pr&TL GU&0 rjPANT9_)_1M_T2 <br />BE ASSIGN® <br />AMOUNT OF GRANT: S YLT TO BE DMERMINED <br />DEPARTMENT RECEIVING GRANT:_SOLID M= DISPOSAL DISTRICT <br />CONTACT PERSON: RONALD R. BROOKS PHONENUMBER: 561-770-5113 <br />1. How long is the grant For? CWF Starting Date: <br />OCTOBER 1, 2000 <br />2. Does the grant require you to fiend this function after the grant is over? —Yes <br />_�L_No <br />3. Does the grant require a match? ,Yes <br />_r <br />If yes, does the grant allow tha match to be in In Kind Sevices? <br />'No <br />Yes No <br />d. Percentage of match to grant % <br />5. Grant match amount rcquirod <br />6. Where arc the matching funds coming from (ix In kind Services; Reserve for Contingency)? <br />7. Does the grant cover capital costs or start-up costs? X <br />Yes No <br />If no, how much do you think wiII be needed in capital casts or start up Costs? <br />(Attach a detail listing of coats) S_ <br />g. Are you adding any additional Peaitions utilizing the grant funds? <br />Yu No <br />If yrs, please list. (If WItional Space is needeCl, please attach a schedule) <br />9. What is the total cost of each position including benefits, capital, start-up, auto expense, travel and operating? <br />Salary and Benefits Operating Costs Capital Total Costs <br />..p.,.b,.,,,ow.,, — ux Ux gran[ ra vac eornty over live yeara7 S. —t) -- <br />Grant other Match Coats <br />Amount Not Covcrod Match Total <br />First Year S S S S <br />Second Year S S S S <br />'third Year S S S S <br />Fourth Year S s .. <br />SignattueoCPrepuer, [?air ,=,f/ -' c <br />