Box 8, Folder 18, Document 4

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Box 8, Folder 18, Document 4

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Form Approved
Budget Bureau No, 63-R-1211

' Attachment 3a
' U,S, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

_ Budget Justification

This form is to be attached to each budget for a capital
project, activity and to the Program Administration Budget





1. NAME OF CDA

Atlanta City Demonstration Agency



2. BRIEF DESCRIPTIVE TITLE OF CAPITAL PROJECT OR ACTIVITY
Model Cities Resident Organization



3. NAME, ADDRESS AND ZIP CODE OF OPERATING ENTITY
Model Cities Mass Convention, Inc. 673 Capitol Avenue S.W. Atlanta, Ga.



AMOUNT OR VALUE



Ce *
4. . DESCRIPTION OF ITEM” AND BASIS FOR VALUATION OF ITEM
2. Public Information $10,000.00
3. Travel -- $50.00 per month x 12 , 600.00
5. Consumable supplies -- Office supplies @$200.00
; per month. 2,400.00

6. Rental, Lease, or purchase of equipment - office
furniture. 2,300.00

7. Other Costs: Mass Convention Development $27000
Assistance to Neighborhood

Advisory Councils-6 @$1,000 $6,000

Matching funds. for grant

from OEO . = <$-.. 3,600

Telephones, Utilities and

janitorial services @

$200 per month. _ 2,400 $14,000, 00
(Justification for supplemental funds Only) ©





* For personnel costs use Personnel justification form.

#* Describe the item in sufficient detail to insure that it is adequately identified
and indicate the basis for determining or computing its value. For example, office
space rental for two professionals; 150 square feet at $2.00 per square foot,
including utilities and janitorial services.

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