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STATE OF NORTH CAROLINA <br /> DIVISION OF SOCIAL SERVICES <br /> PURCHASE CONTRACT BUDGET 17 <br /> SUMMARY Effective <br /> Provider Economic Developrrnet • IDM M 68179 Period 12/1/94 _ through 6/30/95 <br /> Part I - Estimated Expenditures <br /> • Total Non-Matchable I Total Matchable <br /> Program Costs Costs Costs <br /> Object of Expenditure (1 ) (2) (3) <br /> A. Salaries 1,320 1,320 <br /> B. Fringe Benefits 319 <br /> 319 <br /> C. Staff Development-Services <br /> D. Travel 1 I <br /> E. Equipment Purchases-Tangible Property <br /> F. Transportation-Recipient <br /> G. Medical Supplies and Expense <br /> H. Cost of Space-Non-Residential <br /> I. Room & Board-Residential Treatment <br /> J. Service Payments 11,272 11,272 <br /> K. Other <br /> L. Indirect Costs 2,161 2,161 <br /> M. Totals <br /> 15,072 15,072 <br /> Part II - Computation of Unit Cost or Individual Fixed Rate <br /> A. 1 . Total Matchable Costs $ 15,072 <br /> 2. Less: Earned Income for Unit Cost Method $ -0- <br /> 3. Net Matchable Costs $ 15,072 <br /> 8. 1 . Total Service Unit Capacity, or <br /> 2. Total Anticipated Utilization Capacity <br /> C. Method of Computation or Source of Data <br /> D. Estimated Unit Cost or Individual Fixed Rate: S _ per <br /> DSS-5844 (2/83) <br /> Family Services <br />