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<br />WORKSHEET TO EXHIBIT A <br />Community Development Block Grant Program <br /> P. O. Box 391, Redwood City, CA 94064 <br />Name of Agency: Sa.Y'f'\(\"...;k, tThû~-L..- . , MA\eci dt qCllûL <br />Address and Zip Code: 1'5 \ \ cg - e \.0- ~f}f\- c:;;+ ~ ,~Ctl'\ <br />Activity Name ~qk ~~ ßk\J~ <br /> (2~ CD&;- <br />A. Salary and Wages »»»»»»»»» <br />Position Hours @ $ = Budget <br /> $ $ <br /> $ $ <br />Total Salary and Wages $ $ It) . f'\öD <br />B. Frinae Benefits <br />Health Insurance $ $ <br />Life Insurance $ $ <br />Retirement $ $ <br />Workmen's Comcensation $ $ <br />State Unemclovment Insurance $ $ <br />Other Personnel Costs (Specify) $ $ <br />Total Fringe Benefits $ $ 0 <br />C. Office <br />Telephone $ $ <br />Office SuDDlies $ $ <br />Postage $ $ <br />DuplicatinQ Costs $ $ <br />Total Office Costs $ $ 0 <br />D. Marketing/Outreach <br />Promotion $ $ <br />TraininQ $ $ <br />AdvertisinQ $ $ <br />Total Miscellaneous $ $ 0 <br />E. Fiscal Management <br />AccountinQ $ $ <br />AuditinQ $ $ <br />Total Fiscal Management $ $ () <br />F. Operations <br />Instructional materials $ $ () <br />Activities $ $ b <br />G. Other Budget Line Items *: C> <br /> $ $ <br />Total Operations $ $ [,ð , 000 <br /> <br />* Please fill this section if the line items listed in your application are not found in the listed examples <br />above. <br />