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T • <br /> CEBH@IRMWChWAddesceM psychiatric Mental Health CWc <br /> UNIFORM GRANT APPLICATION <br /> FUNDER SPECIFIC BUDGET <br /> PROGRAM EXPENSES <br /> AGENCY/PROGRAM NAME : CEBH@IRMH/ Child/Adolescent Psychiatric Mental Health Clini <br /> FUNDER : IRC - CSAC A B <br /> C <br /> FY 04/05 FY 04/05 % OF <br /> TOTAL FUNDER TOTAL VS, <br /> PROGRAM SPECIFIC FUNDER REQUEST <br /> BUDGET BUDGET col. B/col. A <br /> = EXLzENDITURES <br /> 21 Salaries 184,267.00 70,599.16 38 .31 % <br /> 22 FICA <br /> 79956.00 5,400.84 67.88% <br /> 23 Retirement <br /> 8 ;863n24 0.00 0 .00% <br /> 24 Life/Health <br /> 29,94339 0.00 0.00% <br /> 25 Workers Compensation 31261 .53 0.00 <br /> 0.00% <br /> 26 Florida Unemployment 884.48 0.00 <br /> 0 .00% <br /> 27 Travel-Daily0.00 0.00 #DN/01 <br /> 2s Travel/Conferences/Training 11500.00 . 0.00 0.00% <br /> 29 Office Supplies 11732.00 0.00 <br /> 0.00% <br /> 3o Telephone 870.00 0.00 0.00% <br /> 31 Posta e/Shipping 100.00 0.00 0.00% <br /> 32 Utilities 500.00 0.00 0.00% <br /> 33 Occupancy (Building & Grounds) 59000.00 0.00 0 .00% <br /> 34 Printing & Publications 0.00 0.00 #DN/0! <br /> 35 Subscription/Dues/Memberships 200.00 0.00 0000% <br /> 36 Insurance 50000.00 0 .00 0.00% <br /> 37 Equipment: Rental & Maintenance 0 .00 0 .00 #DN/01 <br /> 38 Advertising 200.00 0.00 0 .00% <br /> 39 Equipment Purchases : Ca ital Expense 0.00 0.00 #DN/01 <br /> 40 Professional Fees (Legal, Consulting) 0 .00 0.00 #DN/0! <br /> 41 Books/Educational Materials <br /> 500 .00 0.00 0 .00% <br /> 42 Food & Nutrition 0.00 0.00 #DN/01 <br /> 43 Administrative Costs 29000.00 0.00 0.00% <br /> 44 Audit Expense 0 .00 0.00 #DN/01 <br /> f, <br /> 45 Specific Assistance to Individuals 0.00 0.00 #DN/O! <br /> 46 Other/Miscellaneous 0 .00 0.00 #DN/OI <br /> ` 47 Other/Contract 0 .00 0.00 #DIV/O! <br /> 4E TOTAL $252,777 .64 $760000.00 30 .07% <br /> 05242004 <br /> Bd <br />