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Part III - Distribution of Est mated Revenue <br />for Total Cost Reimbursement Method <br />e0~ <br />13 ors = <br />(a) (b) <br />Estimated Eligible and Matchable <br />Costs <br />Number Ratio <br />1.1 Estimated Eligible Clients <br />40 100 <br />2. Estimated Ineligible Clients <br />0 0 <br />3. Total Clients <br />40 100 - <br />Eligible Costs <br />(1) Matchable <br />(2) Less <br />3 <br />Net <br />4 <br />5 Costs Eligible <br />1 <br />Costs <br />Earned <br />Matchable <br />Estimated <br />for Financial <br />t ' <br />(Part I, Line M, <br />Income <br />Costs <br />of Eligibles <br />Participation I i <br />col. 3 <br />B, <br />1 Less 2 <br />A. 1. b <br />B. 3 x 4 <br />S 4,801.86 <br />5 0 <br />g <br />4,801-86 <br />100% <br />t <br />S 4 ,801_.86 <br />Part IV - Additional Revenue and Fees`. <br />Program Costs NSA <br />Amount Source of Funds <br />1. Federal/State Funds <br />S <br />2. Local Matching Share <br />S <br />3. Other Budgeted Funds <br />S <br />4. TOTAL REVENUE <br />S <br />Fees (If Applicable) <br />1. Administrative Fee <br />S <br />i <br />2. Certification Fee <br />5 <br />3. TOTAL FEES <br />S <br />Part Reimbursement Projections (For Title X.X Providers Only) <br />July-September <br />Prolectlon <br />G <br />October-June <br />?ro.jection <br />Daze: - <br />