HomeMy WebLinkAboutExhibit 4MIAMI-0ADE COUNTY ATTACHMENT C
OFFICE OF GRANTS COORDINATION
MONTHLY SUMMARY OF EXPENDITURES REPORT
AWARD INFORMATION (complete all sections noted with —)
Agency Name"-: Projekt Nam: PREPOPULATE
Address—:
Total Award Amount: PREPOPULATE
Agreement Period: October 1, 2008 - September, 30 2009
Ordinance No:
Index No:
Te3ephone' : Today's Date–:
BUDGETED AMOUNT I MONTHLY ACTUAL EXPENDITURE AMOUNT
PREPOPULATE
PREPOPULATE
Print Mirth Belaw
Operating expenses covering the Month of =— are outlined in Column 2 below:
1
Approved Budget
Amount
Total Operating Expenses: $0.00
Print Madh Baba:
2 3 4
Monthly Expenses
Y.T.D. Expended
Contract Balances
$0.00
§0.00
$0.00
Monthly Reimbursements will not equal more than III I of the fatal award, minus any advances received (exceptions may
be made on a case by case basis)
AUTHORIZATION
I hereby certify that this expense report subindted by the undersigned constttfes approved budget expenses during the period listed above:
PRINT NAME
PRINT TITLE
Cowr1yDe/D Partment Use Onty
SIGNATURE
DATE
C_O. TB ❑ EH ❑ AL ❑ NR ❑ ❑ OTHER
DD ❑ SJ ❑ YM ❑ BS ❑ ❑ OTHER
BG ❑ KK ❑ AN ❑ ❑ OTHER
C.O. NOTE:
RECEIVED BY:
DATE:
OG ❑ ❑ OTHER TOTAL AMC
DPU (_I OTHER
MV ❑ ❑ OTHER
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