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<br />i. <br /> <br />Family Nutrition Program <br />Site/County Support Agreement <br /> <br />IForm F <br /> <br />c;:u::~ County/Site agrees to support the Family Nutrition Program by <br />contributing the following items from October 1, 2003 thru September 30, 2004. In return, the FNP <br />will be supported by Federal reimbursement dollars. Federal funding will pay for FNP salary, <br />benefits, training, educational materials and travel costs. <br /> <br />Agency Name Personnel Physical Equipment Supplies & Other <br /> Services Space Materials In-Kind <br /> Resources <br />Public Health <br />Public Schools $21230.82 $4057.31 $10535.84 $213.84 <br />NDSU Extension $3600.00 $3365.26 $500.00 $4248.00 <br />(Support staff only for Personnel Services) <br />Regional Human Service Center $730.00 $20.00 <br />Job Service <br />Park District $535.00 <br />Juvenile Detention $5714.40 $138.20 <br />Cass County Jail $2209.00 $8172.00 $143.64 <br />Fargo Library $27.38 <br />MAC $60.00 $45.10 <br /> <br />We hereby certify that non-Federal public funds/services, noted above, are available for matching <br />the North Dakota Family Nutrition Program and that these funds are not used to match other <br />Federal program. <br /> <br /> <br />Total <br /> <br />$65545.79 <br /> <br />.." <br />~ - ~ ' <br />t!Jl4Jh;t~dUf <br /> <br />County xten 'on Chair <br /> <br />S/zyj 63 <br />/ <br />Date <br /> <br />~c6e <br /> <br />f~M3 <br /> <br />Date <br /> <br />~, uwc8z0 <br /> <br />I ~/J.~/6 3 <br />Date <br /> <br />FNP Supervisor or <br />Nutrition Education Agent <br />