Orange County NC Website
Browse       Search
Rf!;P3'F CAM. PROMAM PROPOSED OPERATING BUDGET ' <br /> AHD Attachment N—$ <br /> CAPITAL REQUEST FORM <br /> Contractor: Change County DSS Contract Period: Jan. 1;1987—June 30, 1f1 <br /> Service Expense Respite <br /> l irre ' <br /> t 'IL1ne Item Ex ense AdmIn. Coianfy County Cour3ty Count County County ' ` total <br /> A. Expenses. <br /> 1. Personnel 1 . 7,182 <br /> 2. Rent and Utilities <br /> 3. Rent and Utilities - <br /> In-Kind <br /> i. Equipment (,C $300) <br /> S. Travel <br /> 6. Comn»unI cat[on s <br /> 7. Maintenance Z Repair <br /> 8. Insurance/Bonding <br /> 9. Print. L Supplies <br /> 12. Indirect <br /> 13. Capital Equipment <br /> 14. Total Line Item <br /> 15. Admin. Allocation <br /> 16. Total Service Exp. <br /> lT. Estimated Units <br /> 1$. Service unit Costs <br /> 19. Estimated Clients <br /> B. Resource Requirements <br /> 24. Total Service Expenses <br /> 21. Program Income <br /> 23. Non-Match Cash $ <br /> 24. Non-Match In-Kind S00 <br /> 25. Net Servit+e Cost 4,081 <br /> 26. 11ou t Cost per Un i t 4.77 <br /> 21. Minimum Match: Cash 514 <br /> 28. Minimum Match: In-Kind <br /> 29. AAA Share (Feel. 6 State) 3,5 71 <br /> 0. AA 4.17 <br /> 31. Description of Capital Equipment Items. <br /> az <br />