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ApplicanUProvider: <br />Budget Period <br />Contract No. (As Applicable): <br />The Food Basket Inc., the <br />Hawaii Island's Food Bank <br />BUDGET <br />CATEGORIES Budget Prior Months Curtent Budget <br /> Request Expenditures Expenditures Remaining <br /> a b c ;. d <br />B, EXPENSES <br /> 1. Su lies 150.00 <br /> 2. Poste e, Frei ht, Delive <br /> 3: Tele hone <br /> 4. Contractual Services <br /> 5: Inde endent Audit <br /> 6. Equipment (List on <br /> Se crate Sheet <br /> 7. Other- Uniforms <br /> 8. Other • Trans ortation <br /> 9. Other- S ecial Events <br /> 10. SMCA enc Credit 4,000.00 <br /> 11. Food for Hot Meals 5,200.00 <br /> 12. Pro ram Su lies 650.00 <br /> 23. <br />roTaL $10,000.00 $0.00 $0.00 0.00 <br /> Butlget Prepared By: <br />SOURCES OF FUNDIN G <br /> Nam Lee, Pn.o. soe esa-sozs <br /> a Count of Hawaii 100Q~ Name (Please type or prinq 'Phone <br />, <br /> ~~ <br /> b <br /> October 10, 2008 <br /> C Signature ofAuthodzed ' Oate <br /> OKCial <br /> <br /> Nani Lee <br />Ph <br />D E <br /> , <br />. <br />. <br />_ xecuti <br />, ve Otrector <br /> d Name antl Title Please a or riot October 10, 2008 <br /> <br />TOTAL REVENUE <br />10,000 For MCPA Use Only <br /> Signature o/ Reviewer Oale <br />