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STATE OF NORTH CAROLINA <br />DIVISION OF SOCIAL SERVICES <br />PURCHASE CONTRACT BUDGET <br />Svh1Mh ^n�' Effective <br />Provider Joint Orange-Chatham CAIDa 56- 086120OPeriod 10/1/91 through 6/30/92 <br />A. 1. Total <br />2. Less: <br />3. 'yet M <br />u. 1. Total <br />�. Total <br />�- Method of <br />Part II - Computation of Unit Cost or Individual Fixed Rate <br />Matchable Costs <br />Earned Income for Unit Cost Method <br />atchable Costs <br />Service Unit Capacity, or <br />Anticipated Utilization Capacity <br />Computation or Sour:e of Data <br />5 <br />L. <br />D. Estimated Unit Cost or : ndividual Fixed Rate: _ 11 oer <br />GSS -6�44 2/83 <br />=amiiv Services <br />C <br />Part I - Estimated Expendit•ires <br />Total , Non- Matcnab e <br />Total MdtCnable <br />Program Costs Costs <br />I Costs <br />Object of Expenditure <br />(11 (2) <br />(3� <br />A. Salaries <br />$ 9,069.00 <br />B. Fringe Benefits <br />1,487.00 <br />C. Staff Development- Services <br />D. Travel <br />3,569.00 <br />E. Equipment Purchases- Tangible Property <br />F. Transportation - Recipient <br />G. Medical Supplies and Expense <br />I <br />H. Cost of Space -flon- Residential <br />i <br />466.00 <br />I. Room & Board - Residential Treatment <br />J. Service Payments <br />30,000.00 <br />K. Other <br />1,165.00 <br />L. indirect Costs <br />2,956.00 <br />M. Totals <br />I <br />I <br />1$48.712.00 <br />A. 1. Total <br />2. Less: <br />3. 'yet M <br />u. 1. Total <br />�. Total <br />�- Method of <br />Part II - Computation of Unit Cost or Individual Fixed Rate <br />Matchable Costs <br />Earned Income for Unit Cost Method <br />atchable Costs <br />Service Unit Capacity, or <br />Anticipated Utilization Capacity <br />Computation or Sour:e of Data <br />5 <br />L. <br />D. Estimated Unit Cost or : ndividual Fixed Rate: _ 11 oer <br />GSS -6�44 2/83 <br />=amiiv Services <br />C <br />