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<br />" <br />, <br /> <br />NO Family Nutrition Program <br /> <br />~ <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 Lise 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 />CountylSite Cass <br />Name of Agency Fargo Public Schools - Madison <br />Contact Person Chris Triggs <br />Address 10400 N 29 St, Fargo ND <br />Phone 701-446-5100 <br />E-mail <br /> <br />Value of Personnel Services (Salarv + Fringe Benefits) a X b - C <br />Position Title No. of Hourly value Estimated Total Yearly <br /> persons in hours per year Vaiue <br /> this nosition toFNP <br />Teachers 12 $51.30 120 $6156 <br />Office Staff 2 $16.10 10 $161 <br />Principal 1 $53.55 5 $267.75 <br />. <br /> Total Value $6584.75 <br />