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16 <br />STATE OF NORTH CAROLINA <br />DIVISION OF SOCIAL SERVICES <br />PURCHASE CONTRACT BUDGET <br />SUMMARY Effective <br />Providers ~~~R~h~nl~ ID# period ~~~ ~~h +hrough 613n~n7 <br /> <br />Part I -Estimated Expenditures <br /> <br /> <br />Object of Expenditure Total Non- Matchable Total Matchable <br /> Program Costs Costs Costs <br /> ll) (2) (3) <br />A, Salaries 32,920.86 <br />B. Fringe Benefits 8,617.65 <br />C. Staff Development-Services 500.00 <br />D. Travel 1,000.00 <br />E. Equipment Purchase-Tangible <br />Property <br />F. Transportation-Recipient <br />G. Medical Supplies and Expense <br />H. Cost of Space-Non-Residential <br />I. Room & Boazd-Residential Treatment <br />J. Service Payments <br />K, Other 2,.300,00 <br />L. Indirect Costs 1,428,00 <br />M. Totals 46,766.51 <br />Part II -Computation of Unit Cost or Individual Fixed Rate <br />A. 1. Total Matchable Costs $ <br />2. Less: Earned Income for Unit Cost Method $ <br />3. Net Matchable Costs $ <br />B. 1. Total Service Unit Capacity, or <br />2. Total Anticipated Utilization Capacity <br />Method of Computation or Source of Data <br />D. Estimated Unit Cost or Individual Fixed Rate: $ per <br />