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Organization Name <br />Program Name <br />Final Budget <br />Santa Ana <br />Expenditures <br />Category <br />Expenses Funded by <br />Santa Ana <br />Expenses Funded <br />by Other Sources <br />Total Program <br />Budget <br />Total Organizational <br />Budget <br />Administrative Staff <br />Salaries & Benefits <br />$ - <br />$ <br />Program Staff Salaries & <br />Benefits <br />$ 200,000 <br />$ 200,000 <br />C ontract ual/P rofessiona l <br />Services <br />$ - <br />$ <br />Office Supplies <br />$ 3,000 <br />$ 3,000 <br />Rent <br />$ <br />Communications <br />$ <br />Utilities <br />$ <br />Insurance <br />$ <br />Other:List below <br />1 <br />$ <br />2 <br />$ <br />3 <br />$ <br />4 <br />$ <br />5 <br />$ <br />Total <br />$ 200,000 <br />$ 3,000 <br />$ 203,000 <br />$ <br />LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED <br />(Total Funds for Program must equal Total Program Budget above) <br />Amount <br />for <br />Page 1 of 1 <br />