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<br />TOTAL PROJECT BUD\.;..CT <br /> <br />Jtl\ Yes <br /> <br />o No <br /> <br />This Project is completely supported by CJD grant dollars and <br />grantee match. There are no other local, state, federal, or <br />fou'ldation grant dollars assisting this program. <br /> <br />If "yes., the financial officer should sign below and may <br />disregard the rest of this form. <br /> <br />If "no", please indicate below the amounts, sources, and <br />purposes of other funding. <br /> <br />1. Amount of Funding: PurposelUse of Funding: <br /> $ <br /> Source of Funding: <br />2. Amount of Funding: PurposelUse of Funding: <br /> $ <br /> Source of Funding: <br />3. Amount of Funding: PurposelUse of Funding: <br /> $ <br /> Source of Funding: <br />4. Amount of Funding: PurposelUse of Funding: ,o- <br /> $ <br /> Source of Funding: <br /> <br />'(Use additional pages as needed.) <br /> <br />Total grant dollars excluding <br />this CJD granUapplication. <br />$ <br /> <br />CJD funding and grantee match <br />represents _ % of the total <br />funding of this project. <br /> <br />I <br />I <br />I <br /> <br />~ <br /> <br />Financial Officer Initials <br /> <br />CJD.13 <br /> <br />"sued 7/96 <br />