HomeMy WebLinkAboutperformance report & invoice-8ATTACHMENT C
Quarterly Program Performance Report & Invoice
Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program
Drug Control and System Improvement Formula Grant Program
Quarterly Project Performance Report
SCHOOL RESOURCE OFFICER PROJECT
PURPOSE AREA 07A
(City)
(Project Name)
(Name of Person Completing Form) (Title)
STATE ID NUMBER: 04-CJ-J3-11-23-01-224
GRANT NUMBER: HSB444
(Phone)
Report Number > E ' E
. , 3 ,; .iQ ar erer1o, _
, . , ¢,4 aicri Dist Dates
1
October 1 - December 31
January 15
2
January 1 - March 31
April 15 _
3
April 1 - June 30
July 15 _
4
July 1 - September 30
October 15
1Per
rtertv,Period,
Oat.
Note; Those questions that are directly related to your program have been highlighted for your
convenience. All questions must be answered and explained in the NARRATIVE portion of this report.
Any report not received by January 16; April 16; July 16; and/or October 16, will result in the issuance
of a "Noncompliance Notice" and a delay or denial of Reimbursement Requests.
.FY2004 Quarterly Project Report
School Resource Officer Project 07A
Miami
Please answer the questions that correspond to your project.
During this reporting period, how many trespass warnings were issued to
unauthorized personnel on school grounds?
07.01
07.03
07.04
07.05
07.07
During this reporting period, how many student offenders were arrested off
school grounds?
During this reporting period, how many students were provided one or more
counseling sessions?
During this reporting period, how many parents were provided one or more
counseling sessions?
During this reporting period, how many crime prevention class
presentations were conducted?
7a.
7b.
In what setting did these activities take place?
How many students were participated in these presentations?
07.08
During this reporting period, how many school special events were
attended?
8a.
List the type of events project personnel attended.
07.09
07.10
During this reporting period, how many students were referred to public
assistance agencies for services?
During this reporting period, how many in-service orientations were provided to
teachers?
PROGRAM NARRATIVE
In accordance with FDLE, all projects must include a detailed description of program activities for each
quarter. Jurisdictions failing to complete this portion of the report will be "Out of Compliance" in addition
to a denial of reimbursement requests.
Edward Byrne Memorial State and Coca! Law Enforcement Assistance Formula Grant Program
SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS
(To Be Copied on Jurisdiction Letterhead)
City:
Project Name:
Telephone:
Date of Claim:
Claim Number:
Claim Period:
Name of Person Completing Form:
1. Total Federal Budget $ 2. Amount This Invoice $
(75% of your current claim)
3. Amount of Previous Invoices $ 4. Remaining Federal Balance $
Sub Object Budget Line Item Exceeds
Code Categories Disallowed Budget
Salaries &
Benefits
Contractual
Services
Operating/
Capital Equipment
Expenses
Total Claim
(Subtract lines 2 & 3 from line 1)
Federal
Funds
Local Category
Match Totals
We request payment In accordance with our contract agreement in the amount of 75% of the Total Costs for this
Claim $ (75%), the balance of costs, $ (25%), to be recorded as our in -kind contribution to
comply with the local match requirements.
Attached, please find the records which substantiate the above expenditures. I certify that all of the costs have been paid and
none of the items have been previously reimbursed. All of the expenditures comply with the authorized budget and fall within
the contractual scope of services and all of the goods and services have been received, for which reimbursement is requested.
Respectfully submitted,
Chief of Police/Other City Official Payment Approved, Miami Dade County
Miami Dade County
School Resource Officer
HSB444
Page 2 of 3
SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS- Payroll Expenses
City: Date of Claim:
Project Name: Claim Number:
Name Date of Type of Total
Officer/Staff Activity Activity* Hours
*{Presentation, Parent Meeting, Field trip, etc.)
TOTAL HOURS . AT $ . PER HOUR = $
I CERTIFY THAT PAYMENT FOR THE AMOUNT OF $ IS CORRECT.
OFFICER/STAFF SIGNATURE:
OFFICER/STAFF SOCIAL SECURITY NUMBER:
CHIEF OF POLICE/CITY OFFICIAL SIGNATURE:
I VERIFY THAT THE ABOVE SERVICES WERE PROVIDED:
Note: Payroll registers, time sheets and OT slips, documenting payroll expenses, must be attached to process this payment.
Miami Dade County
School Resource Officer
HSB444
City:
SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS
(Equipment, Supplies, Material Expenses)
Project Name:
Vendor
Date of Claim:
Claim Number:
Item Date Check
Descriotion Number
TOTAL AMOUNT OF EXPENSES:
NOTE: Copies of all In4olces and cancelled checks for this request must be attached to process payment.
Page 3 of 3
Amount