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0 <br />1991 SURVEY AND PLANNING CRAidT APPLICATION FORM <br />Page Two <br />V1. BUDCET: AN ESTIMATE OF PROJECT COSTS <br />Line Items (1) (2) <br />Grant funds Cash Match In -Kind Match Total <br />Principal ConsulL ;int <br />Socret'ary <br />Projt�CL Coordinator <br />Other Personnel (specify) <br />Office Space <br />Telephone <br />Travel and Per Diem <br />miles @ /mi.le _ <br />days @ /day <br />Film and Developing <br />Office Supplies <br />Maps <br />Camera (purchase /rental) <br />Printing and Copying <br />Other (specify) <br />TOTALS <br />Budget Notes: (1) Cash funds must be available for payment of salaries, travel, <br />film and developing. Be sure that grant funds are matched with sufficient non- <br />federal cash match to meet this requirement. (2) In -kind contributions could <br />include office space, telephone costs, photocopying, supplies, indirer_L costs <br />and projor.L coordination, provided they are esst�ntial to the project and <br />Properly documented. Matching funds must constitute 50% of actual costs. <br />Return by 1/31/91: ALLn. Lloyd Childers, <br />Di.vi.5ion of A--J_­.__. A--J_­.__. Sr. ;ate Historic Preservation Office, �•C• i and iiistor 109 E. In—,, <br />���` Kalt i-h, NC 27601 -21307 <br />