"This manifests in staff working under considerable pressure to deal effectively with cases as they progress through the system, and substantial expenditure on overtime payments across the grades".
One substantial expenditure was for lumber, with which she and her father, a retired engineer who visited from Plovdiv, built the queen-size platform bed.
His alliance with former Congressman Samuel Stratton and former Governor Nelson Rockefeller, led to a substantial expenditure of funds in Amsterdam for urban renewal.
The subsidies might come to $75 an hour, at a very rough estimate, and if 50 million Americans averaged four hours of consultations, the eventual cost might be $15 billion a year — a substantial expenditure, but a worthwhile one.
Sarver also said it would require a "substantial expenditure" for the contest to be considered a lottery.
Because there are costly drainage and geologic issues, along with wildfire and liability concerns, requiring substantial expenditure to fix and yearly maintain.
"Acceptance of the parcel as originally offered would require a substantial expenditure by the city to mitigate these issues". The city has been burned before on land gifts: a well-used hiking area off of Laguna Canyon Road turned out to contain an old dump site from the 1950s that spewed its contents onto neighbors' yards during December's deluge.
Given the substantial expenditure of federal and state funds on HIV care [39] and prevention, all areas receiving Ryan White CARE Act support should have access to the highest quality data for allocation and prioritization purposes.
Referred to as the objective burden of care, such tasks typically require a substantial expenditure of time and energy [ 4].
However, the extraction of it from trees is tedious and inefficient and requires substantial expenditure of natural resources.
More importantly, chronic ulcers remain an eminent clinical problem negatively impacting patients' quality of life and simultaneously representing a substantial expenditure for the healthcare system.
