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Gra~Sroots AHs PrOgram ' ' 3 <br /> Sub[lrantee Application Form <br /> <br />7. Financial Information <br /> <br /> Expenses cash = amount + suhgraetee <br /> expenses requested cash match <br /> A. Personnel <br /> Administrative 1000.00 -0- 1000.00 <br /> Arlislic -0- -0- -O- <br /> TechnicaP <br /> Produclion <br /> B. Outside Fees and Services <br /> Artistic 1500.00 800.00 700.00 <br /> Olher , . -0- -0- -O- <br /> C. Space Rental -0~ -0- <br /> D. Travel .~ Q~00 -0- 50.00 <br /> E. Marketing <br /> Printing 20~ ~ 0_0 -0- ;ZOO. 00 <br /> Other , -I~- -0- -O- <br /> E Remaining Operating Expenses <br /> Postage 100,00 -0- 100.00 <br /> Telephone . ~0~_00 -0- 50.00 <br /> Supplies _5 (~0_, 00 -0- 500,00 <br /> Other __;~00 ~ 00 -0- 200.00 <br /> G. Capita~ Expenditures <br /> Acquisitions -0- -0- <br /> Other -0- -O- <br /> H. Total <br /> Cash Expenses $3§00.00 = 800.00 _+ 2800.00 _ <br /> <br /> Income Cash Income <br /> A. Admissions 3000, 00 <br /> R. Contracted Services <br /> Revenue -0- <br /> C. Other Revenue -0- <br /> D. Private Support <br /> corporale contributions - <br /> foundation grants - 0- <br /> olher private support -0- <br /> E. Government Support <br /> [ederal -O- <br /> <br /> {not including this <br /> <br /> local -O- <br /> E Applicant Cash -0- <br /> G. Orassroots Amouht Reqaested <br /> <br /> Program Local Distributing <br /> Agent [or the program R0.0~0L <br /> H. Total Cash Income <br /> <br /> ,lam 7H above) 3800.00 <br /> <br /> <br />