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srsp-3 (I <br /> I2. START lIP AND ADVANCE PAYMENTS None <br /> A. DOES THE APPLICANT REQUEST B. DOES THE APPLICANT REQUEST C. DOES THE APPLICANT REQUEST ADVANCE PAYMEN <br /> START-UP PAYMENTS ADVANCE PAYMENTS FOR FOR ADMINISTRATIVE COSTS? <br /> OPERATIOddN'AL COSTS? <br /> YES TU NO I I YES ~M NO I YES ~ NO <br /> ] 3. LIST T}1E SPONSOR-LEVEL PERSONNEL WHO WILL BE RESPONSIBLE FOA ADMINISTERRJG THE SUMMER FOOD SERVICE PROGRAM <br /> 'CITLE OF POSITCON NO. HOURS SALARY PER NO. TOTAL SOURCE OF NAME OF SA <br /> PER HOUR OF SALARY FUNDS ADMN[STRATNE APPROVE <br /> DAY (VOLUNTEER- DAYS FOR PERSONNEL AMOUNT <br /> ON USE"V") PROGRAM <br /> SFSP <br /> ADMINISTRATOR <br /> 1 1.5 33.50 29 1 457.25 USDA lene Mi ake <br /> spsP-DIRECTOR OR 5 1.5 23.26 29 5 059.05 " See attached <br /> COORDINATOR r <br /> COORDINATORT D1R.f 14 1.5 17.90 29 0,901.10 " See attached <br /> ACCOUNTANT 1 1.5 15.00 29 652.50 " Donette Iyo <br /> cLER1CAL STAFF 1 1.5 10.24 29 441.09 " Shari IVakamur <br /> Secreta <br /> MONITORS (not less „ ACt1Vlt 4' deS 1 th <br /> than one er zo sites 47 1.5 8.93 29 8 257.39 rocess ~f` bei Mired <br /> OTHERS 3 1.5 13.11 29 1,710.86 " Alana Hindle, na <br /> TOTAL rana a, ns <br /> ADMw1sTRATIVE 72 38,479.2 <br /> SALARIES <br /> 14. U[D ANY OF THE PERSONNEL NAMED IN ITEM 13 WORK FOR ANOTHER SUMMER FOOD SERVICE PROGRAM SPONSOR OR A FOOD SERVICE <br /> MANAGEMENT COMPANY? AYES IINO <br /> (If yes, give name of person, name and address of sponsor or food service management company and dates of employment [here) <br /> I5. OPERA"fIONAL AND ADMNISTRATIVF, BUDGET <br /> A- ES'f1MATED OPERATIONAL C05T (FOOD SERVICE) B. ESTIMATED ADMINISTRATIVE COSTS <br /> SPONSOR SA APPROVED SPONSOR SA APPROVED <br /> ~t~~ ~-y AMOUNT AMOUNT AMOUNT AMOUNT <br /> l TOTAL ADMINIS"CRATIVE <br /> FooD $ ~~(~tf-~ SALARIES (see 13 abn~e) 8 479.21 ~ ~r <br /> (c-7 I <br /> Si' RENT OF OFFICE SPACE <br /> (Attach contract) <br /> UTILITIES <br /> KITCHEN <br /> OFFICE SUPPLIES <br /> LABOR <br /> AUDIT FEES Attach letter <br /> 7RANSPORTATION RENTAL <br /> (ADMINISTRATIVE <br /> NON-FOOD SUPPLIES I ~J~j AND MONITORS) MILEAGE <br /> v TELEPHONE <br /> UTILITIPS POSTAGE <br /> KITCHF,N OR TRUCK RENTAL LEGAL PEES REIMBURSEMENT ILL NOT EXC ED ELIGIBLE <br /> (Atach contract) USE ALLOWANCE ° ac <br /> EQUIPMENT REN"CAL OFFICE BLDG. MA ' <br /> <br /> 1Attach contract (Not included in Rental A Bement <br /> OTHER S eeif 1 OTHER S ecif~ <br /> /j ` INDIRECT COST (Rate) (Attach copy of <br /> SUB-TOTAL "b ~ ~ / co rizan[ a ~encv's a royal <br /> _ suBTOTAL 8,479.21 A ~~7~ <br /> PAGE30F5 <br /> <br />