Form Sfy 01 - Home And Community Based Care - Alaska Commission On Aging Page 9
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10Alaska Commission on Aging
Home Community Based Care
Project:
Agency Name:
ACoA funds by Allotment
How expenses will be paid
Total
Budget Summary
Program
Total ACoA
Local
Fees for
Other
ACoA
MHTA
Request
Match
Service
Sources
Costs
(100) Personnel
$
$
$
$
$
$
$
(200) Travel
$
$
$
$
$
$
$
(300) Facility Expense
$
$
$
$
$
$
$
(400) Supplies
$
$
$
$
$
$
$
(500) Equipment
$
$
$
$
$
$
$
(600) Other
$
$
$
$
$
$
$
Total Direct Cost $
$
$
$
$
$
$
(700) Indirect Cost
$
$
$
$
$
$
$
Total Cost $
$
$
$
$
$
$
Prepared by
Telephone number
8/3/00
G:\ACOA\SFY01 NEW FORMS\ FY01 HCB Cost Proposals
CP 9
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