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Please limit your responses to the space provided. <br /> <br />Please complete the program budget form below. Detail both revenues and expenditures related to this request, <br />showing speofically how grant funds from Phd,p Morr~s U.S.A. would be used, and how other funds would be used, <br />to cover expenditures. Reminder: 6rants for general operating expenses/overhead w,II not be considered. <br /> <br />REVENUE: <br /> <br />Ph,hp Morris U.S.A. (request) <br />Other Corporot,ons* <br />Foundations* <br />Pubhc Agenoes* <br />Individuals <br />Earned Tncome <br />In-Kind Support <br />Other: <br /> <br />39t990 <br /> <br />23,270_ <br />7,650 <br /> <br />TOTAL REVENUE <br /> <br />70,910_ <br /> <br />EXPENDlq'URE$: <br /> <br />Salaries <br />Benefits & Payroll Tax~s <br />Internsh,ps <br />Consultants <br />Conferences/Meetings <br />Printing/Publications <br />Rent & Utilities <br />Telephone <br />Supphes <br />Postage <br />Food <br />Equipment Rd~DYa~XXX gus ed <br />Equipment Maintenance <br />Travel <br />Other: s~,,d Tr=_nspcrtation <br />Stud. Activities/Awards <br />Ins. & Bonds <br /> <br />TOTAL EXPENDZTURE$ <br /> <br />PHILIP MORRIS <br />U S.A. FUNDS <br /> <br />30,800 <br />2,580 <br /> <br />OTHER FUNDS <br /> <br />41,146 <br /> 3,148 <br /> <br />lt364 4,364 <br />250 850 <br /> <br />400 000 <br /> <br />1,200 <br /> 560 <br /> 852 <br /> <br />3,750 <br /> 560 <br />4,900 <br /> <br /> 3,000 <br /> 300 <br />304 620 <br /> <br /> 350 <br />1,140 <br /> <br /> 562 <br />1,270 <br /> <br />200 200 <br />.40,000 70,910 <br /> <br />* P£EASE TDENTZFY Tt-IES6 POTEN1-Z~L FUND6R$ ON THE T,4$£E IN ,4TTACH~ENT $. <br /> <br />PHILIP MORRIS U 5.A. 2002 6RANT APPLICATION <br /> <br /> <br />