to the compliance requirements: Yes / No Details of funding 19. Value of grant $ requested GST inclusive Capped at $110, 000 20. Total cost of project $ (if applicable) Total cost of activity $ to be funded 21. Value of contribution Cash In-kind made by Local $ $ Government Value of Status of contribution 22. Value of cash Contributor cash (confirmed / contribution made by contribution unconfirmed) name project partners $ Contributor Value of Status of contribution 23. Value of in-kind in-kind (confirmed / contribution made by contribution unconfirmed) name project partners $ 24. Value of contribution Contributor name/s $ made by other $ revenue sources
to the compliance requirements: Yes / No Details of funding 19. Value of grant requested GST inclusive Capped at $110, 000 $ 20. Total cost of project (if applicable) Total cost of activity to be funded $ $ 21. Value of contribution made by Local Government Cash $ In-kind $ 22. Value of cash contribution made by project partners Contributor name Value of cash contribution $ Status of contribution (confirmed / unconfirmed) 23. Value of in-kind contribution made by project partners Contributor name Value of in-kind contribution $ Status of contribution (confirmed / unconfirmed) 24. Value of contribution made by other revenue sources Contributor name/s $ $