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IM�Pr"_F; CART PRdGRA.M PROPOSED OPERATING BUDGET ' <br /> AND Attachment TT-13 <br /> CAPITAt REQUEST FORM <br /> Contractor: Orange County DSS Contract Period: Jan. 1;1987-June 30, D <br /> Service xpense Respite <br /> Line <br /> �en'se 0 'Line item E Admin. rotanty ftinty County County County Count " ' Total <br /> A. Expenses: <br /> 1 . Personnel 1 . 7,182 <br /> 2. Rent and Utilities <br /> 3. (lent and Utilities <br /> In-Kind <br /> 4. Equipment (< $300) <br /> S. Travel <br /> b. Communications <br /> ,t. Maintenance b Repair <br /> 8. insurance/Bonding <br /> 9. Print, & Supplies <br /> 12. indirect <br /> 13, Capital Equipment <br /> 14. Total line Item <br /> 15. Admin. Allocation fin <br /> 16. Total Service Exp. ywo <br /> 7 .6132 <br /> 17. Estimated Units <br /> 18. Service Unit Casts <br /> 19. Estimated Clients <br /> 8. Resource Requirements <br /> 20. Total Service Expenses 7 .6Q2 <br /> 21. Program Income <br /> 23. Non-batch Cash 2,282 <br /> 24, Non-batch In-Kind 500 <br /> 25, Net Service. Cost 4 081 <br /> 26. Net Gust per Unit 4.77 <br /> 27. Minimum Match: Cash 510 <br /> 28. Minimum Match: In-Kind <br /> 29, AAA Shares (Fed, r, State) 3,573. <br /> 0. AA .17 <br /> 31. Description of Capital Equipment Items: <br />