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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 Incentive/Stipend$0.00
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B. Staff Salaries$0.00
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C. Participant Payroll Related Exp$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. Consumable Goods$0.00
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C. Occupancy$0.00
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D. Indirect Costs$0.00
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E. Participant Training$0.00
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F. Youth Transportation$0.00
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G. 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 Dollars Received$0.00
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TOTAL PROGRAM COSTS (TOTAL TANF REQUEST) $0.00
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