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6 <br /> 1995 CLG SURVEY AND PLANNING GRANT APPLICATION FORM <br /> Page Two <br /> IV. BUDGET: AN ESTIMATE OF PROJECT COSTS* <br /> (1) (2) <br /> Line Items Grant Funds Cash Match In-Kind Match Total <br /> Principal Consultant/ $ 8,475 5,560 $ $ 14,035 <br /> Investigator <br /> Secretary 870 870 <br /> Project Coordinator 870 870 <br /> Other Personnel (specify) 1,080 1,080 <br /> Staff Planner/Intern <br /> Office Space 180 180 <br /> Telephone 60 60 <br /> Travel and Per Diem <br /> 2,340 miles @ 19.28jmile 390 265 655 <br /> 4 days @ $55.00 day 130 90 220 <br /> Film and Developing 240 160 400 <br /> Office Supplies/Maps 150 100 250 <br /> Advertising Costs <br /> Camera (purchase/rental) <br /> Printing and Copying 90 60 150 <br /> Other (specify) 50 30 80 <br /> Postage <br /> TOTALS $ 9,525 6,075 $ 3,250 $ 18,850 <br /> *Budget Notes: (1) Cash funds must be available for payment of salaries, travel, film and developing. Be <br /> sure that grant funds are matched with sufficient non-federal cash match to meet this requirement. (2) <br /> In-kind contributions could include office space,telephone costs,photocopying,supplies,indirect costs and <br /> project coordination,provided they are essential to the project and properly documented.Matching funds <br /> must constitute 400 of actual costs. <br /> Send by January 31, 1995 (nth Equal Opportunity Statement) to: <br /> Lloyd Childers, State Historic Preservation Office <br /> N.C. Division of Archives and History <br /> 109 E.Jones Street, Raleigh, N.C. 27601-2807 <br />