b. Extension Service/FNP grant
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b. Extension Service/FNP grant
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<br />County/Site <br /> <br />:toe f.~6PIV' J?~ ~'7 <br /> <br />FACILITIES SPACE VALUATION WORKSHEET <br />(Must be completed to count the value of any 'space') <br /> <br />Form B <br /> <br />PROJECT: Family Nutrition Program <br /> <br />FACILITY: Je {.~"'S&-'f./ S~~~p, y- <br />(A separate worksheet must be completed for each <br />facility (building) for which the value of space will be <br />considered.) <br /> <br />Q) Depreciation (Use Allowance) <br />(Choose a, b', or c) <br /> <br />Gross Acquisition Cost <br />(Less) cost of land <br />(Less) Federal Gov't. Contribution <br />(Less) <br />New Acquisition Cost <br /> <br />3' //" "87 <br /> <br />$ <br />( <br />( <br />( <br />$ <br /> <br />8'1/. CJ 3'7 <br /> <br />) <br />) <br />) <br />(NAG) <br /> <br />Date of Acquisition: /';2;241951./'$'7 Useful Life: <br /> <br />So <br /> <br />Years, (UL) <br /> <br />,:1 :?c- <br /> <br />a. Annual Straight-line Depreciation = (1 + UL) x NAC <br />(If this method used check 0 here.) <br /> <br />$ <br /> <br />Ie, I :t:,l/. 77" <br /> <br />OR <br /> <br />b. Where State, County, or other governmental agency has figures available, in lieu of the above <br />calculation, use that government's depreciation figure from its annual financial report, assuring that any <br />cost of land and any Federal Government contribution has been first deducted. <br />(Attach copy of financial statement and check 0 here.) $ <br /> <br />OR <br /> <br />c. Where building has been completely depreciated, calculate a reasonable use allowance according to <br />criteria at 7 CFR Part 227, Appendix A, A(11). When using a "use all~wance", attach calculations and <br />check 0 here. <br /> <br />$ <br /> <br />~ Interest <br />Annual interest on debt associated with the facility; attach documentation. $ <br /> <br />CID Operation and Maintenance Expenses <br />Expenses incurred for the administration, supervision, operation, maintenance, preservatio,n, and protection of the <br />building agency's physical plant as properly allocated to this facility. ~ncludes janitorial and utility services; <br />environmental safety. hazardous waste disposal; property liability, and all other insurance relating to property; <br />leasing costs; facility planning and management; central receiving. Salaries and wages should include all properly <br />. allocated fringe costs. Attach documentation, itemization, and calculations. $ <br /> <br /><D + ~ + <ID = g;] Total Facilities Cost $ 1t;,?;J.. J. 1~ <br /> <br />Gross amount of interior space in entire facility/building <br />(Less) common areas (hallways staircases, restrooms, lobbies, etc.) <br />Net amount of usable interior space in entire facility/building <br /> <br />5".75:2 <br />//.-a.5v <br />~5...y&l;t <br /> <br />sq. ft. <br />sq. ft. <br />sq. ft. (Total Space) <br /> <br />0+~ <br /> <br />= <br /> <br />[g <br />$ .:;~ <br /> <br />(Cost/Sq. Ft.) IS] <br /> <br />Total Facility Cost + Total Space = Cost / Sq. Ft. = <br /> <br />(over) <br />
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