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e <br /> 6 <br /> 1996 CLG SURVEY AND PLANNING GRANT APPLICATION FORM <br /> Page Two <br /> W. BUDGET:AN ESTIMATE OF PROJECT COSTS* <br /> Line Items Grant Cash In-Kind Total <br /> Funds Match Match Cost <br /> Principal Consultant/Investigator $ 7,475 $ 2,525 $_ 1$ 0.000 <br /> Secretary <br /> Project Coordinator 3,000 3,000 <br /> Other Personnel (specify) <br /> Office Space <br /> Telephone <br /> Travel and Per Diem <br /> 1.620 miles @ 0.28 mile 452 452 <br /> 3 days @ $11.00 day 228 228 <br /> Film and Developing 500 500 <br /> Office Supplies/Maps 100 100 <br /> Advertising Costs <br /> Camera (purchase/rental) <br /> Printing and Copying 125 125 <br /> Other (specify) 40 40 <br /> Posta¢e <br /> TOTALS $ 8.655 $ 2,525 $ 3.265 $ 14,445 <br /> Subtotal 40% or more 100% <br /> 60% or less of total <br /> of total <br /> *Budget Notes: (1) Cash funds must be available for payment of salaries, travel,film and developing. <br /> Be sure that grant funds are matched with sufficient nonfederal cash match to meet this requirement. <br /> (2) In-kind contributions could inclut 1p office space, telephone costs, photocopying, supplies, indirect <br /> costs (universities only), and projec • ordination, provided they are essential to the project and <br /> properly documented. Matching fu: , must constitute 40% of actual costs. <br /> Send original and three cop° .o appropriate CLG by December 31, 1995 <br /> The CLG should send orig al and two copies by January 31, 1996 to: <br /> Lloyd Childers, Late Historic Preservation Office <br /> N.C. Division of Archives and History <br /> 109 E.Jones Street,Raleigh, N.C. 27601-2807 <br />