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G1 <br />SECTION VIII SOURCES OF PROGRAM REVENUE (ALL SOURCES) <br />FY 12 -13 Lee County Funding ID: 553 -XXXX <br />Sponsoring Agency: Lee County Youth and Family Services Program: Lee County Youth and Family <br />Services <br />$161,771 <br />30% <br />$138,572 <br />$75,772 <br />$44,200 <br />$2,700 <br />$423,015 <br />DJJ /JCPC Funds <br />' This is the amount of your request on your application <br />Local Match Rate <br />Is the Local Match Rate 10 %, 20n /o <br />or 30 %? <br />County Cash <br />Lee County <br />(Specify Source) <br />Local Cash <br />(Specify Source) <br />Local Cash <br />(Specify Source) <br />Local In -Kind <br />Lee County <br />(Specify source) <br />Other <br />Contracted Services, Hillcrest Emergency, <br />(Specify Source) <br />P syc h o l ogic al S e rv ices <br />Other <br />Restitution, Hillcrest Donations, Art Council <br />(Specify Source) <br />Other <br />(Specify Source) <br />Other <br />(Specify Source) <br />TOTAL <br />$48,531 <br />$214,344 <br />Required Local Match <br />Match Provided <br />Authorizing Official, Division of Juvenile Justice <br />The lirllouing signature cei tiltes chat iris progrmrr agreement Ira. been local/, apprared Ls, the Board of Counts Conunissianers. <br />Date <br />Chair, County Board of Commissioners or County Finance Director Date <br />The lbiloit mg signeum c (.ertii iec that ihis program agreement has been lucallr appr) rcd by the.1m emle Crime Preveniiau <br />Conucil. <br />Chair, Juvenile Crime Prevention Council Date <br />Program Manager Date <br />Form JCPC /PA 001 JCPC Program Agreement <br />Form soucuue lastrevised 01/09/2012 <br />Department of Public Safety. Division of Juvenile Justice <br />