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Docusign Envelope ID : CA40CEF5-FCF4-4B9C-9DED-480ECB315666 <br />PROGRAM BUDGET <br />Legal Assistance for Seniors <br />Legal and Supportive Services, Medicare Counseling and Education for Pleasanton Seniors <br />JULY 1, 2024 THROUGH JUNE 30, 2025 <br />Funding Uses I Expenses <br />Personnel: Salaries * (see instructions below) <br />Personnel: Benefits * (see instructions below) <br />Operating : Suppl ies <br />Operating : Printing/Copying <br />Operating : Postage <br />Operating : Telephone <br />Operating : Rent & Utilities <br />Operating: Accounting/ Aud it <br />Operating : Contract Services <br />Operating : Program Supplies <br />00199200-433165-11876 <br />Total <br />Amount Requested <br />(Pis HHSG ONLY) <br />$2,905.00 <br />$845 .00 <br />$1 ,250.00 <br />$5,000.00 <br />Page 8 <br />Docusign Envelope ID: 2D046EA3-3EAC-4B50-9E52-5CAAFF47F1ED