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rNMUi E e; <br />IAL SERVICES;AND "t <br />GRAM COSTS':: <br />Social Services Levy from Line 1g of Schedule U of the 1989/1990 <br />Form 280 <br />Payable 1990 Levy for Residual "Not Taken Over" Income Maintenance <br />Program Costs (Program Costs Not Included in Definition of Human Services <br />Programs under M.S. 273.1398, Subd. 1, Paragraph (k)) (List the Names of <br />the Program Costs and the Payable 1990 Levies for Those that were <br />Included on Line 2e of Schedule U of the 1989/1990 Form 280) <br />Name of Program Cost <br />(a) Indigent Burials $ <br />(b) University Hospital$ Papers $ <br />(c) Client Transportation (Bus Tokens) $ <br />(d) AFDC All- County Funds* $ <br />(e) Emergency Shelter ** $ <br />(f) Other (List Name) -- $ <br />(g) Payable 1990 Total Special Levy for "Not Taken Over" Income <br />Maintenance Program Costs (2a + 2b + 2c + 2d + 2e + 2f) $ <br />* For persons who have used EA. <br />** For families who have used EA. <br />(3) Payable 1990 Levy for Income Maintenance Program Benefits in Excess of <br />State Mandated Standards (List the Programs and the Payable 1990 Amounts <br />Levied for Benefits in Excess of State Mandated Standards that were Included <br />on Line 2e of Schedule U of the 1989/1990 Form 280) <br />Program <br />(a) $ <br />(b) <br />(c) $ <br />(d) $ <br />(e) Payable 1990 Total Special Levy for Income Maintenance Program <br />Benefits in Excess of State Mandated Standards <br />(3a _+ 3b + 3c + 3d) $ <br />(4 Total of Items Subject to 12% or 15% Maximum Increase (1 + 2g + 3e) $ <br />(5) Maximum Payable 1991 Levy Under the 12% or 15% Cap (Line 4 Times <br />1.12 for the Seven Metropolitan Counties and St. Louis County, <br />1.15 for All Other Counties) $ <br />