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12 <br /> 1 <br /> 1994 CLG SURVEY AND PLANNING GRANT APPLICATION FORM <br /> Page Two <br /> IV. BUDGET: AN ESTIMATE OF PROJECT COSTS` <br /> (1) (2) <br /> j Line Items Grant Funds Cash Match In-fund Match Total <br /> r <br /> Principal Consultant/ _1_1140 18180 27 320 <br /> Investigator <br /> Secretary J1.800 1800 <br /> CProject Coordinator 3,600 3 600 <br /> Other Personnel (specify) 9.750 9,750 <br /> _ <br /> Planner II (Landscape Architect) and Planner I (GIS Specialist) <br /> Office Space 600 600 <br /> Telephone 200 200 <br /> Travel and Per Diem <br /> 1.425 miles @ .2mile 200 200 400 <br /> 4 days @ day 660 660 1,320 <br /> Film and Developing 200 200 <br /> Office Supplies/Maps 250 250 <br /> Advertising Costs <br /> Camera (purchase/rental) <br /> Printing and Copying 200 200 <br /> Other (specify) 250 250 <br /> Postaee <br /> TOTALS 10,000 19.040 _ $16.850 S45.890 <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 non-federal cash match to meet this requirement. <br /> (2) In-kind contributions could include office space, telephone costs, photocopying, supplies, indirect <br /> costs and project coordination, provided they are essential to the project and properly documented. <br /> Matching funds must constitute 40% of actual costs. <br /> Send by January 31, 1994 (With 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 />