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OMB NO. 80-RO184 <br />VCr•Am 1 MCI'1 1 Nr 1 rtP%"JFW c 1 11W., - <br />s <br />PART III - BUDGET INFORMATION - CONSTRUCTION <br />SECTION A - GENERAL <br />1. Federal Domestic Assistance Catalog No ............ . 20.102 <br />2. Functional or Other Breakout .................... <br />SECTION B - CALCULATION OF FEDERAL GRANT <br /> Use only for revisions <br />Total <br />Cost Classification <br />Latest Approved <br />Amount <br />Adjustment <br />+ or H Amount <br />Required <br />1. Administration expense $ S S800.00 <br />2. Prel iiinary expense <br />3. LaiAstructures, right-of-way <br />4. Architectural engineering basic fees 10,000 <br />5. Other architectural engineering fees <br />6. Project inspection fees 2,000 <br />7. Land development <br />8. Relocation Expenses <br />9. Relocation payments to Individuals ano Businesses <br />10. Demolition and removal <br />11. Construction and project improvement 97,422 <br />12. Equipment <br />13. Miscellaneous (Audit) 800 <br />Total (Lines 1 through 13) <br />Estimated Income (if applicable) <br />16. Net Project Amount (Line 14 minus 15) <br />17. Less: Ineligible Exclusions <br />18. Add: Contingencies 11,200 <br />19. Total Project Amt. (Excluding Rehabilitation Grants) 122.222 <br />20. Federal Share requested of Line 19 110,000 <br />21. Add Rehabilitation Grants Requested (100 Percent) <br />22. Total Federal grant requested (Lines 20 & 21) 110,000 <br />23. Grantee share 12,222 <br />24. Other shares <br />25. Total project (Lines 22, 23 & 24) $ S 1122, 222 <br />FAA Form 5100-100 (6 73) SUPERSEDES FAA FORM 5100 -10 PAGES 1 TMRU 7 Pace 4 <br />Revised 9-24-81