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6 <br />NORTH CAROLINA LOCAL GOVERNMENT APPLICATION FOR FFY 2004 FUNDING <br />(Continued) <br />urtr~w i iNU roc <br />3.,3 Travel: <br />Subsistence <br />& Transportation <br />3.,4 Ail Other: <br />Rental <br />Postage <br />Office Supplies <br />Telephone <br />Utilities <br />Other (Specify) <br />-Uniforms <br />-Portable Radio <br />Communications <br />i equip <br />Total 3.4* <br />N5t5 <br />$2,000 <br />400 <br />1,7'50 <br />1,000 <br />91,200 <br />500 <br />5,500 <br />4,1 <br />Approv <br />Coord . <br />a, <br />b. <br />c. <br />d, <br />Travel <br />All Other <br />Total <br />ALLOCATION <br />Coord. <br />a. <br />b.. <br />c.. <br />d.. <br />Travel <br />All Other. <br />Total <br />1=0R STATE USE ONLY <br />Salary Benefits Total <br />$22,350 TOTAL ALLOCATION $ <br />Verification of percent of times devoted to <br />Emergency Management Activities. <br />*Does NOT inGude amount shown in 3 3 (Travel) <br />EM Form 66 (Rev. 01/01) Signature of Area Coordinator !I <br />