EP 1130-2-500
27 Dec 96
APPENDIX T
SAMPLE CHALLENGE COST-SHARING FINANCIAL WORK SHEET
Project Name ______________________ Contact person
_______________________________
Address_______________________________________________________________________
Phone _________________________
Work Project Title_______________________________________________________________
Location______________________________________________________________________
Proposed date of work___________________________________________________________
Description of work_____________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Partner ____________________________ Contact person ______________________________
Address ______________________________________________________________________
__________________________________ Phone _______________________________
Corps
Partner
Total
Salaries
$_______
$________
$_______
Travel
$_______
$________
$_______
Materials and Supplies
$_______
$________
$_______
Equipment Use
$_______
$________
$_______
Cash/Funds
$_______
$________
$_______
Personal Property
$_______
$________
$_______
Other
$_______
$________
$_______
Contingencies
$_______
$________
$_______
Total
$_______
$________
$_______
Share of total cost
______ %
_______ %
T-1
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