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Water Supply Reserve Account - Grant Application Form <br />Fonn Revised May 2007 <br /> Total Grant Request <br /> Matching <br /> Funds <br /> Labor Other Direct (If Total Grant <br /> Costs Applicable) Costs <br />Task 1 - $3,324 $0 $3,324 $0 <br />(Specify <br />name of <br />task) <br />Task 2 $1L994 $0 $11,994 $0 <br />Task 3 $41,104 $0 $38,146 $2,958 <br />Task 4 $10,406 $258,850 $120,000 $149,256 <br />Indirects $7,278 $28,189 $15,509 $19,958 <br />10.89% <br /> <br />Total $74,106 $287,039 $172,172 <br />Costs: <br />Contribution Sources <br />Project Task Grant $$ Match $$ Source Match In-kind Source Total <br />Task 1 $3,324 DU $3,324 <br />Task 2 $13,244 Landowner $13,244 <br />Task 3 $7,434 $45,580 <br /> $38,146 Landowner 7778 DU $7,778 <br />Task 4 $164,738 $164,738 <br /> $20,000 USFWS $6,481 DU $26,481 <br /> $100,000 CDOW $100,000 <br /> $0 <br />Total $172,172 $174,714 $14,259 $361,145 <br />40