(Indicate income
and expenses associated ONLY with this project)
Income
Use the space to the right of each line item to provide an explanation
of the line
(if necessary)
$__________ Admissions
$__________ Concessions/sales
$__________ Fundraising
$__________ Memberships
$__________ Corporate
$__________ Individual Support
$__________ County/Municipal
$__________ Other
$__________ City of Williamsport Cultural Grant Request
(may
not exceed $1,500)
$__________ Total Income
Total of Income and Expense columns must
match!