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<br />Value of Equipmer;lt (Attach completed and signed Form C) <br /> <br /> Total Yearly <br />Description of item(s) Value <br />Tables, chairs, computer, stove etc $3365.26 <br />I Total Value $3365.26 <br /> <br />Value of Supplies/Materials (Attach completed and signed Form D) <br /> Total Yearly <br />Description of item(s) Value <br />Paper, pencils, etc $500.00 <br />I Total Value $500.00 <br /> <br />Value of Other Resources (attach completed and signed Form E) <br /> Total Yearly <br />Description of item(s) Value <br />Phone, printing, resources, etc. $4248.00 <br />----..-..." --. <br />I Total Value $4248.00 <br /> <br />OVERALL TOTAL VALUE <br /> <br />I $11713.26 I <br /> <br />On behalf of Cass County Extension we agree to <br />(/<lc:lll1tl ur AytlJl(;Y) <br />contribute the above in-kind resources to support the Family Nutrition Program during the project year <br />through September 30,2004. We certify that we have public, non-federal funds/services available for <br />matching the Family Nutrition Program and that these funds are not used to match other Federal <br />programs. <br /> <br /> <br />M'r/~ <br /> <br />Title <br /> <br />$/11 / 0.3 <br /> <br />. <br /> <br />Date <br />