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<br />. '1D Family Nutrition Program <br /> <br />CONTRIBUTOR SUPPORT FORM <br /> <br />October 1, 2005 - September 30, 2006 <br /> <br />Your intention to pledge in-kind value to FNP is considered a local match to the Federal dollars that <br />support the Family Nutrition Program. Though your pledge of time or use of equipment does not represent <br />an actual cash outlay by your organization to the FNP program, it is necessary for us to place a monetary <br />value on that pledge in order to receive an equivalent amount of Federal funding. Please assign dollar <br />values consistent with your agency financial records; when in doubt, please assign a conservative estimate. <br />Thank your very much for your pledge to our program. It is essential for our continuing operation to <br />have this demonstration of local community support. <br /> <br />Contact Person <br />Address <br />Phone <br />E-mail <br /> <br />. Cass <br />Fargo Public Schools - Woodrow <br />Wilson <br />Deb Dillion <br />315 N University Dr. Fargo NO <br />701-446-2800 <br /> <br />County/Site <br />Name of Agency <br /> <br />Value of Personnel Services (Salary + Fringe Benefits) <br /> <br />a <br /> <br />x <br /> <br />b <br /> <br />= <br /> <br />c <br /> <br />Position Title No. of Hourly value Estimated Total Yearly <br /> persons in hours per year Value <br /> this position to FNP <br />Principal 1 $53.55 4 $214.20 <br />Teacher 2 $51.30 18 $923.40 <br /> - <br /> Total Value $1137.60 <br />