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STATE OF NORTH CAROLINA <br /> DIVISION OF SOCIAL SERVICES <br /> PURCHASE CONTRACT BUDGET <br /> SUMMARY Effective <br /> Provider- nrana� r���snhnnlc ID#_ period 7/L/n7 through 6/3010 <br /> Part I- Estimated Expenditures <br /> Object of Expenditure Total Non-Matchable Total Matchable <br /> Program Costs Costs Costs <br /> (1) (2 3 <br /> A. Salaries 31,169.00 <br /> B. Fringe Benefits 6,955.00 <br /> C. Staff Development-Services 500.00 <br /> D. Travel 741.00 <br /> E. Equipment Purchase-Tangible <br /> Property <br /> F. Transportation-Recipient <br /> G. Medical Supplies and Expense <br /> H. Cost of Space-Non-Residential <br /> 1. Room& Board-Residential Treatment <br /> J. Service Payments <br /> K. Other 500.00 <br /> L. Indirect Costs <br /> M. Totals j 39,865.00 <br /> Part II -Computation of Unit Cost or Individual Fixed Rate <br /> A. 1. Total Matchable Costs $ <br /> 2. Less: Earned Income for Unit Cost Method $ <br /> 3. Net Matchable Costs $ <br /> B. 1. Total Service Unit Capacity, or j <br /> i <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 />