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01/23/95 10:33 $503 945 7376 OSDF MANAGEMENT U005 <br /> OREGON DEPARTMENT OF FORESTRY <br /> SBA TREE PLANTING GRANT PROGRAM <br /> • <br /> BUDGET INFORMATION WORKSHEET <br /> IV. PROPOSED BUDGET: <br /> I A SBA GRANT FUNDING AMOUNT REQUESTED <br /> LOCAL MATCHING AMOUNTS: CASH IN-KIND <br /> " <br /> Required Cash Match (5% or 1O% of grant <br /> • <br /> - request amount) 1,000 * <br /> Personnel and Contract Supervision 1,156 <br /> Equipment Use and Supplies 750 <br /> Site Preparation Costs <br /> • Additional Project Plantings or Planting <br /> 700 <br /> Materials <br /> Three Year Maintenance 9,000 <br /> TOTALS: <br /> 10,000 2,606 <br /> For municipalities with a population of 5,000 or loss, the required cash match is five <br /> percent (5%) of the grant award. For all other applicants, the required cash match is tan <br /> percent elm) of the grant award <br /> B. TOTAL LOCAL MATCH: $ 12,606 <br /> • C- TOTAL PROJECT COST: (Grant Request + Local Match) <br /> $ 22,606 <br /> V. CERTIFICATION <br /> As designated representative of said applicant I hereby agree to implement this project according <br /> to the attached cost and technical proposals and to abide by the provisions of the Small Business <br /> i Administration regulations 13 CFR Parts 121 and 125 for this program. <br /> -2- 1- 9 <br /> Signature Date <br /> , 2.• • k.w........*....""IMA:;t4Z4312::**),":1003.7;i1;2.4.,,,Nin;Vnii,ZiatZWeiwr,.;:r,m3:'`:::-., <br /> x .1 p.BLIPPR.:4414ttrAw*wtmirmw...i......ctrt <br /> ,;-lawaTierre.koyitovorprive ,K111,13wimviw,RN-iiiztv.,4wRzio: <br /> v 4.4.4141". efoiti,&-AHR4g,t;Lz,Ntitt4-:,gooz.o.tidtjiktr-agetwas!F..m:twegKogi,go,;::;,./::;,g: <br /> "ttielOir 4066246",P*PfEitakittivisicalmiataNgosoomeAtmtviatto.rd;vietgam=traumz,;::;:::, <br />