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STATE OF NORTH CAROLINA <br />DIVISION OF SOCIAL, SERVICES <br />PURCHASE CONTRACT BUDGET <br />I6 <br />SUMMARY Effective <br />Provider Fn~pln;m,Pnt 4eeyrj,tys.nmmicci~n ID # f,RFf)1 Peri~~l 7/1/2004 tlu'ou8h 6/30/2005 <br /> <br />Part I -Estimated Expenditures <br /> <br /> <br />Object of Expenditure Total Non- Matchable Total Matchable <br /> Prob-am Costs Costs Costs <br /> <br />A. Salaries $20,649 <br />B. Fringe Benefits 4 .35.3 <br />C. Staff Development-Services <br />D. Travel .360 <br />E. Equipment Purchase-Tangible <br />Property <br />F. Tratlsportation-Recipient <br />G. Medical Supplies and Expense <br />H. Cost of Space-Non-Residential <br />I. Room &Board-Residential Treatment <br />J. Service Payments <br />K. Other <br />L„ Indirect Costs ~ 68~ <br />M. Totals 28,044 <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 /> <br />D. Estimated Unit Cost or Individual Fixed Rate: $ per <br />