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<br />INSTRUCTIONS: <br /> <br />a. Press F1 for help for each field. <br />b. Navigate through the form by using the TAB key or the mouse to highlight and enter data in each field. <br />c. All Questions in RED are required. <br />d. Documents attached must be in version WORD 97 or above or WORDPERFECT 6.0 or above. <br /> <br />(R8-PA-5/1/2004) <br /> <br />-------------------------------------------------------------------------------------------- <br />-------------------------------------------------------------------------------------------- <br /> <br />MATCH SOURCES (NON-FED SHARE FUNDING) <br /> <br />TOTAL PROJECT COST ESTIMATE: >124,1701 <br />PROPOSED FEDERAL SHARE: >118,1281 <br />FEDERAL SHARE PERCENTAGE: > ~% <br />PROPOSED NON-FEDERAL SHARE: > ~ **** <br />(**** MUST EQUAL 100% OF "PROPOSED NON-FEDERAL SHARE" INSERTED ABOVE) <br /> <br />SOURCE AGENCY: <br /> <br />LOCAL AGENCY FUNDING <br /> <br />SOURCE NAME: <br /> <br />CASS <br /> <br />FUNDING TYPE: <br /> <br />ADMINISTRATION <br /> <br />OTHER FUNDING TYPE DESCRIPTION: OFFICE, EQUIPMENT USE, ETC. -IN-KIND <br /> <br />FUNDS AVAILABILITY DATE: <br /> <br />IMMEDIATELY FUNDS COMMITMENT LETTER DATE: <br /> <br />A. Item name: OFFICE SPACE. EQUIPMENT <br />Unity QT: _ Unit of Measure: ..... Unit Cost: $500 MONTH Cost Estimate: $3.625 <br /> <br />B. Item name: <br />Unity QT: _ Unit of Measure: ..... <br /> <br />Unit Cost: <br /> <br />Cost Estimate: <br /> <br />C. Item name: <br />Unity QT: _ Unit of Measure: ..... <br /> <br />Unit Cost: <br /> <br />Cost Estimate: <br /> <br />D. Item name: <br />Unity QT: _ Unit of Measure: ..... <br /> <br />Unit Cost: <br /> <br />Cost Estimate: <br /> <br />E. Item name: <br />Unity QT: _ Unit of Measure: ..... <br /> <br />Unit Cost: <br /> <br />Cost Estimate: <br /> <br />F. Item name: <br />Unity QT: _ Unit of Measure: ..... <br /> <br />Unit Cost: <br /> <br />Cost Estimate: <br /> <br />20 <br />