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DocuSign Envelope ID: 656F3A3D-164D-46BE-AF4D-F6B87DF98D38 <br />Complete ALL required fields below, if value is zero, enter "0.00". <br />Collection Service Provider Expenses* <br />$ 0.00 <br />Equipment" $ 0.00 <br />View Eligible Expenses <br />........................................I <br />Yard Waste/Tree Waste Expenses Subtotal $ <br />0.00 <br />Estimated Revenue " <br />$ 0.00 <br />Yard Waste/Tree Waste Expenses $ <br />0.00 <br />Problem Materials <br />Complete ALL required fields below, if value is zero, enter "0.00". <br />Collection Service Provider Expenses " $ 400.00 <br />View Eligible Expenses <br />........................................... <br />Estimated Revenue " <br />$ 0.00 <br />Problem Material Expenses $ <br />400.00 <br />Program Administration -- Base Funding <br />Complete ALL required fields below, if value is zero, enter "0.00". <br />Office supplies" $ 250.00 <br />Training" <br />$ 100.00 <br />Mileage " $ 41.90 <br />Membership Dues, Periodicals" $ 0.00 <br />Professional Services " <br />$ 0.00 <br />View Eligible Expenses <br />........................................... <br />Please enter Labor&Staffing expenses in Labor& Staffing section below. <br />Program Administration- BaseFundingExpenses $ <br />391.90 <br />5of13 <br />