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Part III - Distribution of Estimated Revenue for Total Cost Reimbursement Method <br />3 <br />C,06 D RACE /.1 <br />s <br />Estimated Eligible and Matchable Costs Number Ratio <br />l.' Estimated Eligible Clients 40 100 a <br />2. Estimated Ineligible Clients 0 0 <br />3. Total Clients 40 100 a <br />Eligible Costs <br />(1) Matchable <br />(2) Less <br />3 Net 4 <br />5 Costs Eligible <br />Costs <br />Earned <br />Matchable Estimate di <br />for Financial <br />(Part I, Line M, <br />Income <br />Costs of Eligibles <br />Participation <br />col. 3 <br />B. 1 Less 2 A. I. b <br />[B.13) x 4 <br />S 4,801-86 1 <br />S 0 <br />$ 4,801.86 1007 <br />I <br />S 4 801-96 <br />Part IV - Additional Revenue and Fees: <br />Program Costs N/A Amount Source of Funds <br />1. Federal/State Funds <br />2. Local Matching Share <br />3. Other Budgeted Funds <br />4. TOTAL REVENUE <br />Fees (If Applicable) <br />1 Administrative Fee <br />2. Certification Fee <br />3. TOTAL FEES <br />5 <br />S <br />S <br />S <br />I <br />Part V - Reimbursement Projections (For Title !X Providers Only) <br />Julv-September October-June <br />Annual ion Projection Projection <br />i n=d: _ Date: <br />- <br />11 <br /> <br />