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<br />NORTH CAROLINA LOCAL GOVERNMENT APPLICATION FOR FUNDING <br />(Continued) <br />OPERATING EXPENSES <br />3.3 Travel: 4.1 _ .FOR<STATE USE ONLY <br />_,. <br />~, Subsistence <br />& Transportation $2,000 Approv Salary Benefits Total I <br />Coord. <br />3.4 All Other: <br />I <br />Rental <br />I <br />I <br />Postage <br />OfFce Supplies <br />Telephone <br />Utilities <br />400 <br />150 <br />200 <br />300 <br />150 <br />Other (Specify) <br />Total 3.4* 1,200 <br />*Does NOT include amount shown in 3.3 (Travel) <br />EM Form 66 (Rev. 01/01) <br />a. <br />b. <br />C. <br />d. <br />Travel <br />All Other <br />Total <br />A: <br />Coord. <br />a. <br />b. <br />c. <br />d. <br />Travel <br />All Other <br />Total <br />TOTAL ALLOCATION $ <br />Verification of percent of times devoted to Emergency <br />Management Activities. <br />Signature of Area Coordinator <br />6 <br />