BUDGET NARRATIVE –July 1, 2018 – June 30, 2019 October 27, 2017

Agency Name:

Program Title:

Program Area:

ANTICIPATED INCOME SOURCES DURING PROGRAM PERIOD:

A.  ADAMH –

B.  Other Funds –

Total Funding $

LINE ITEM BUDGET JUSTIFICATION:

A1. Personnel Annual Level ADAMH Other

Position Salary of Effort Funds Funds

(name/position) $ $ $ $

(name/position) $ $ $ $

(name/position) $ $ $ $

(name/position) $ $ $ $

Grand Total Personnel Salary $

·  (explanation)

·  (explanation)

·  (explanation)

·  (explanation)

·  (explanation)


A2. Fringe Benefits ADAMH Other

Funds Funds

PERS 14% $

W/Comp 3% $

Medicare 1.45% $

Life Ins /1000x.11x12 $

Health Insurance $

Total Fringe Benefits $ $

GRAND TOTAL FRINGE $ $

A3. Consultants ADAMH Other

Funds Funds

(description) $ $

(description $ $

Total Consultants $

A4. Subscriptions and Publications ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Subscriptions and Publications $ $

A5. Supplies ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Supplies $ $

A6. Printing/Copying ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Printing/Copying $ $

A7. Rent/Lease Expenses ADAMH Other

Funds Funds

(description/detail) $ $

(description/detail) $ $

Total Rent/Lease $ $

A8. Phone/Utilities ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Phone/Utilities $ $

A9. Maintenance/Repair ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Maintenance/Repair $ $

A10. Rentals ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Rentals $ $

A11. Insurance ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Insurance $ $

A12. Motor Vehicle ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Motor Vehicle $ $

A13. Travel ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Travel $ $

A14. Food ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Food $ $

A15. Conference/Training/Registration ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Conference/Training/Registration $ $

A16. Equipment/Computer ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Equipment/Computer $ $

A17. Furniture ADAMH Other

Funds Funds

(description) $ $

(description) $ $

Total Furniture $ $

ADAMH Other

Funds Funds

Total Non-Personnel $ $

Grand Total $ $

ADAMH / Other Funds / Total
Personnel / $ / $ / $
Fringe / $ / $ / $
Other / $ / $ / $
Total / $ / $ / $