........................................................................................................................................................................................................................................................................................................................... <br /> (a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS <br /> 8. <br /> 9. <br /> 10. <br /> 11. <br /> 12. TOTAL (sum of lines 8-11) <br /> Total for 1st Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter <br /> 13. Federal <br /> 14. Non-Federal <br /> 15. TOTAL (sum of lines 13 and 14) <br /> gpp3Ak..,,AA <br /> (a) Grant Program FUTURE FUNDING PERIODS (Years) <br /> (b) First (c) Second (d) Third (e) Fourth <br /> 16. <br /> 17. <br /> 18. <br /> 19. <br /> 20. TOTAL (sum of lines 16-19) <br /> 21. Direct Charges: 22. Indirect Charges: <br /> 23. Remarks: <br /> Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Page 2 <br />