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<br />30- 6 <br /> <br />; 9:47AM; <br /> <br />; 650685588" <br /> <br /># 2/ <br /> <br />-- <br />WORKSHEET TO EXHIBIT A <br />Community Development Block Grant Program <br />P. o. Box 391, Redwood City, CA 94064 <br />Name of Agency: 9Mlb-- 1'tet-1M.')1"k.-. <br />i'ddress and Zip... Code: \I{ço cMG(~V1 ~L r tbvA1VI,r-, CJft C{40 10 <br />i'ctlv/tyName ~woal ~ì{j H.ov~ <br />J\. Salary and Wages »»»»»»»»» <br />F'osition Hours @. $ ::: Bud~et <br />"Jrn {(;IWI úwdt)(" $ $ 4c. (()()() <br />v $ $ <br />-- <br />Total Salary and Wages $ $ 45.«)00 <br />E'. Fringe Benefits <br />Health Insurance $ $ <br />i [fe Insurance $ $ <br />F:etirement $ $ <br />\illorkmen's Compensation $ $ <br />~;tate Unemployment Insurance $ $ <br />C!ther Personnel Costs (Soecify) $ $ <br />..J ~tal Fringe Benefits $ $ l1 ,tÝY) <br />C" Office <br />-- ~,C$O <br />1 eleohone $ $ <br />.s~ce Supplies $ $ , f:JC)() <br />-E ostage $ $ ì I¥}D <br />t "'. 1:1' {D,t.,J(.,._t $ $ <l. 000 <br />1 otal Office Costs $ $ W,~ <br />.! ~ Marketing/Outreach <br />F remotion $ $ <br />.J raininQ $ $ <br />,. dvertisina $ $ <br />T ctal Miscellaneous $ $ <br />.!: Fiscal Manaaement <br />~ccounting $ $ <br />þ.. uditina $ $ ? ,nnn <br />..! ~tal Fiscal Manaaement $ $ 1-, C900 <br />J: ~ Operations <br />Irlstructional materials $ $ <br />Activities -; \J~(\ÜtJI}, .A I . '\- . $ $ 8 . ct:)D <br />G. Other Budget Line Items *: <br />~- <br />. \~¡bt\i1L $ $ 1.000 <br />Total ODerations $ $ 9 0, (XX) <br /> <br />... Please fill this section if the line items listed in your application are not found in the listed examples <br />a )ove. <br />