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STATE OF NORTH CAROLINA <br />DIVISION OF SOCIAL SERVICES <br />PURCHASE CONTRACT BUDGET <br />SUMMARY Effective <br />Provider Employment Security Commission ID# 68E01 Period 7/1/1999 through 6/30/2000 <br />Part I -Estimated Expenditures <br />Object of Expenditure Total Non- Matchable Total Matchable <br />Program Costs Costs <br />Costs (2) (3) <br />(1) <br />A. Salaries $27,678 <br />B. Fringe Benefits <br />C. Staff Development-Services <br />6,694 <br />1,000 <br />D. Travel <br />E. Equipment Purchase-Tangible Property <br />F. Transportation-Recipient <br />G. Medical Supplies and Expense <br />H. Cost of Space-Non-Residential <br />!, I. Room &Board-Residential Treatment <br />J. Service Payments <br />K. Other <br />L. Indirect Costs <br />$ 3,590 <br />M. Totals $38„962 <br />Part II -Computation of Unit Cost or Individual Fixerl Rate <br />A. 1. Total Matchable Costs $ N/A <br />2. Less: Eamed Income for Unit Cost Method $ <br />3. Net Matchable Costs $ <br />B. 1. Total Service Unit Capacity, or <br />2. Total Anticipated Utilization Capacity <br />Method of Computation or Source of Data <br />D. Estimated Unit Cost or Individual Fixed Rate: $ per <br />