Enhanced Surveillance for Chronic Disease

Grant and Contribution Program

of the Healthy Living and Chronic Disease Strategy

Company Name:
Project Name:

Detailed Budget - Budget dtaill

Fiscal Year Fiscal Year

2008-2009 2009-2010
Exercice Exercice
financier financier

a) Personnel
Full/part-time employees/Employ(e)s temps partiel/ temps plein
Position Title/Titre de position

Employers share of payroll deductions/Advantages sociaux

Contractual employees/Sous-traitants

Subtotal/Sous-total

b) Travel/Dplacements
Transportation/Transport

Living Expenses/Frais de sjour

Subtotal/Sous-total

c) Materials/Matriel
Office Supplies/ Approvisionnements de bureau
Project Materials/Matriel pour le projet
Printing/Impression
Postage/Frais de port

Subtotal/Sous-total

d) Equipment/quipement
Office Equipment/quipement de bureau

Furniture - Ameublement

Special Equipment - quipement spcial

Subtotal/Sous-total

e) Rent and Utilities/Loyer et services publics

Rent/Loyer
Utilities/Services publics

Subtotal/Sous-total

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Enhanced Surveillance for Chronic Disease
Grant and Contribution Program
of the Healthy Living and Chronic Disease Strategy

Company Name:

Project Name:

Detailed Budget - Budget dtaill

Fiscal Year Fiscal Year
2008-2009 2009-2010
Exercice Exercice
financier financier
f) Evaluation/valuation
Evaluation/valuation

Dissemination / Diffusion

Subtotal/Sous-total

g) Other (specify)/Autres (prciser)

1) Insurance/assurance
2)
3)
4)
5)
Subtotal/Sous-total

Total Cost of Project/Cot total du projet

Total PHAC Funding/Financement total de lASPC

Other income from all sources/Autres sources de revenu

Total budget for the project/Budget total du projet

Name/Nom

Signature ______________________________________ Date

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