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OEPARTHENT OF HUMAN RES~RCES <br />DIVISION OF ~O~TH 5ERVICES <br />Line {te~ Budget for Co~unity-Besed Programs <br />Budgeted Expenditures FY lg { P~nth$ <br />02 Salaries ~ Wages *'- Re~ul'ar <br />03 Sa{aries & ~aoes/Part ll~e & Ter~porary '100.00 <br /> This line Item budget <br />04 Professional Services should reflect your <br />05 FICA Tax Expense expenditures for the <br />Og Other Fringe Benefits <br />lO Employee Training <br />1{ Telephone & Postage ' <br />13 Utilities <br />14 Travel <br />la-{7 Maintenance & Repair - specify Please indicate by <br />(bldg, & grounds, equipment, vehl¢]ea) an asterisk those <br />21 Rent - Buildings '2',40'0.00 ar~unts that represent <br /> in-kind contributions <br />22 Rent - EquiP~mn~ '800.00 re*her than cash~ <br />26 Advertising Expense Attach an explanation <br />. of ho~ the cash value <br />31 Auto-Drive Supplies for your in-kind line <br /> <br />32 . Office Su~Ites . '600. O0 items was co~uted. <br /> <br />33 ~ouse.keept~g Supplies <br />34 Other Supplies & Materials *200.00+300 <br />45 Contracted Services ~.,45~. O0 <br />'~6 Drugs <br />47 Food & Provlstone <br />54 Insurance & 9gods <br />57 Miscellaneous Expenses *~00. O0 <br />58 T~ansportatlon of ¢lfent~ 1,300.00+260 <br />71-74 Caplta) Outlay . specify <br />(..)and, buildings) <br />Other . <br />TOTAL dUDGE[ +++ 2~, 96~. O0 <br /> <br /> * POT each employee list the following lnforraatton: ~ob ti*la, annual wage/ <br /> <br /> <br />