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Summary Sheet
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Provider Name & Program
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Budget Time Period
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Date Completed
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Estimate Amount
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I. Staff
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A. Participant Salaries$0.00
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B. Participant Payroll Related Expenses$0.00
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C. Staff Salaries $0.00
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D. Staff Payroll Related Exp$0.00
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TOTAL STAFF COSTS$0.00
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II. Operations
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A. Travel/Mileage for Staff$0.00
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B. Participant Training$0.00
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C. Youth Transportation$0.00
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D. Other$0.00
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E. Consumable Goods$0.00
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F. Occupancy$0.00
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G. Indirect Costs$0.00
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H. Other - Misc$0.00
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TOTAL OPERATIONAL COSTS$0.00
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III. Equipment
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A. Equipment Subject to Depreciation$0.00
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B. Small Equipment Purchases$0.00
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C. Leased and Rented Equipment$0.00
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TOTAL EQUIPMENT COSTS$0.00
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SUBTOTAL OF ALL COSTS (TOTAL PROJECT COST) $0.00
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IV. Other Funds Expected$0.00
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TOTAL REQUESTED FROM JFS$0.00
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