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SOR IV - YEAR 2: 09/30/2025-09/29/2026
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Name of The Service Provider:ACCESS SOR IV
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Project Title____________ County Health Department
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Award NumberAD_____AHR
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Year 1 Budget PeriodFY25: 7/1/25 - 9/30/25 & FY26: 10/01/25-06/30/26
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Descriptions3-month (July 1, 2025 - September 30, 2025)9-month (October 1, 2025 - June 30, 2026)TotalSubtotal General FundJul 2025Aug 2025Sep 2025Oct 2025Nov 2025Dec 2025Jan 2026Feb 2026Mar 2026Apr 2026May 2026Jun 2026Total SpentTotal Remaining
Percent Remaining
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Line Item All sources
7/1/25-9/30/25 		All sources
10/1/25-6/30/26 		All sources
7/1/25-6/30/26 		General Funds
7/1/25-6/30/26 		All sources All sources All sources
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0111Salaries $ - $ - $ -
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0121FICA $ - $ - $ -
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0131Retirement $ - $ - $ -
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0139Def Compensation $ - $ - $ -
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0141Health Insurance $ - $ - $ -
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0142Retiree Health Insurance $ - $ - $ -
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0161Unemployment Insurance $ - $ - $ -
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0161Workmen's Compensation $ - $ - $ -
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0201Consultants $ - $ - $ -
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0280Special Payments Payroll $ - $ - $ -
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0291FICA $ - $ - $ -
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0292Unemployment Insurance $ - $ - $ -
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0301Postage $ - $ - $ -
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0405In-state Travel $ - $ - $ -
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0409Out-of-State Travel $ - $ - $ -
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0415Training $ - $ - $ -
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0701Gas and Oil $ - $ - $ -
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0801Advertising $ - $ - $ -
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0896Human Service Contracts $ - $ - $ -
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0919Educational Supplies $ - $ - $ -
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0953Medicine, Drugs & Chemicals $ - $ - $ -
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0957Medical Supplies $ - $ - $ -
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0965Office Supplies $ - $ - $ -
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0986Other Supplies $ - $ - $ -
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Subtotal Direct Cost
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Indirect10% $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ -
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TOTAL AMOUNT
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Monthly Percentages
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