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Oak Wilt Budqet Breakdown <br />Because federal Forest Service Oak Wilt funds cover different expenses than state LCMR funds, please fill out the <br />following table accordingly. For each entry, specify type, source and amount. <br />I 1�h'� {$�.c��yr_t r�e and source} � In-kind Match ���sl�atcb � ReLeaf Funding �_ Total� <br />Federal Oak Wilt Projects - using standard treatments . <br />Personnel: � . � <br />Contractual Services: <br />Equipment Usage: <br />Education (workshops, publications, etc): <br />Other: <br />� <br />Sub Totals�_ � <br />State Oak Wilt Pro�ects - usin ex eriment cut and stum treatments <br />Personnel: <br />Contractual Services: <br />Equipment Usage: <br />� Education (workshops, publications, etc): <br />Other: <br />Sub Totals <br />TOTALS ALL PROJECTS (should equal budget <br />summarvl <br />Authorization <br />I certify this information is valid and factual as described in this application and that all costs are eligible under MN <br />ReLeaf. <br />Name: A n i t a Twaroski Title: - <br />Signature: Date: <br />Application Check off <br />Mail the originals and 3 copies of the following: <br />❑ Completed application form <br />❑ Attached pages: <br />- project questions (3 page limit) <br />� 8'/�" x 11" map of project ('� page limit) <br />- Forest health management plan (3 pape limit) <br />� Letters of Support ('� �ti�� limit each} <br />Applications must be received by 4:30 pm, <br />Forester <br />Friday, May 27, 2005 <br />Mail to: <br />Minnesota ReLeaf <br />Minnesota Department of Natural Resources <br />500 Lafayette Road, Box 44 <br />St. Paul, MN 55155 <br />