Laserfiche WebLink
<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 />3. SOURCE AGENCIES >..... (Select Local Agency Funding, Other Agency Funding, Private Non Profit or State Agency Funding) <br /> <br />> >..... Select Administration, Cash, Consulting Fees, Engineering Fees, Equipment OP/Rental, Labor, Program Income, Supplies <br /> <br />or Other) > > <br /> <br />>> <br /> <br />>> >>NOTE: DOCUMENTATION REQUIRED FOR IN-KIND MATCH. <br /> <br />TOTAL PERCENT OF NON-FED SHARE> 115 %1 <br />Attach or enclose a REQUIRED LETTER OF FUNDING COMMITMENT from Subgrantee <br />(see MISC for sample form). <br /> <br />Local Approval of Project: <br /> <br />Local Approval of Project: Specify the amount of local funds available for this project: <br />o <br /> <br />A. Specify any local commitment available for this project: CASS COUNTY <br /> <br />A. Funds 0 <br /> <br />B. Other resources (including "IN KIND" services): <br />1. List Resource #1 - Valued at $ OFFICE & EQUIPMENT $3,625 <br />2. List Resource #2 - Valued at $ <br />3. List Resource #3 - Valued at $ ,etc. <br /> <br />(Describe any additional information you feel is pertinent to this project application in 2,000 <br />characters or less or attach separate word document) IN-KIND MATCH WILL BE MET WITH <br />$500 A MONTH OFFICE & EQUIPMENT COSTS. THE $500 A MONTH FIGURE <br />REPRESENTS THE USE OF A 12X12 OFFICE SPACE IN THE PUBLIC SAFETY <br />BUILDING (LOCATED AT 4630 15 AVENUE NORTH), TELEPHONE, OFFICE <br />EQUIPMENT, CONFERENCE ROOM, RECEPTION AREA, ETC. <br /> <br />B. Indicate where the "Letters of Funding Commitment" (if any) from non-FEMA sources <br />are attached/enclosed, i.e., at Annex or Tab> I I <br /> <br />22 <br />