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~'~, PAGE OF <br /> OFFICE OF ECONOMIC OPPORTUNITY o APPLICATION FOR COMMUNITY ACTION PROGRAM <br /> PROGRAM ACCOUNT BUDGET SUPPORT SHEET (Pt.,,~ ~ ~ ~.~ ~t~t~) e.~,, e <br /> ~J. APPLICANT AGENCY J, DATE SUBMITTED <br /> CaB~Trus County Department of Soc[a[ Services Z/Z6/TZ '~.~ on,~: 6/3~ <br /> · PROGRAM ACCOUNT <br /> Emergency Food and Medical Services Program 4/1/7Z 6/30/7Z <br /> " ~. ~UD~T SUPPORT DATA <br /> <br />-'i' ' COST AMOUNT 0R VALUE OF ITE <br />~RY DESCRIPTION OF ITEM AND BASIS FOR VALUATION FEOERAL <br /> NO. ~HARE ~ARE <br /> Z. 5 ~oo~ Stamp Pa~eha~e Program ZOO fam{lie~ ~ $ ZO ~, 000 <br /> Z. 5 Kitchen/Eating Equipment 75 families ~ $15 1, <br /> Z. 5 Pest Contro~ 40 families ~ $ Z. 50 100 <br /> TOTALS CARRIED FORWARD FR0~ <br /> ATTACHED PAGE5 <br /> T. ~ AOOITIONAk NARRATIV[ STAT[MiNT I$ <br /> TOTALS 5, ZZ5 <br /> <br /> ; CA~ ~0RM 25~ (REV. AUG 68) REPLACES CAP FORM 2~. DATED APR 68, WHICH IS OBSOLETE. 6~0 ~1-~3 <br /> <br /> <br />