Wisconsin Environmental Education Board
Budget Expense Summary Form
(Rev 04/2006)
Project Log # _1995-0000______
Type of Report
Report Date Ending ____12/15/1995___________
x
Interim Claim □ Final
Claim
|
Administering Organization Mahaska County Extension Service |
Report Preparer Sally Doe |
Phone (715) 222-2222 |
sdoe@mahaska.org |
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Budget Category |
(A) Amount Budgeted |
(B) Amount Expended |
(C) Match Budgeted |
(D) Match Received |
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Salary/Honoraria
Project Director
Community business leaders |
$2,000 |
$500
|
$600
|
$0
|
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Fringe Benefits |
0
|
0
|
0
|
0
|
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Travel
|
|
$0 |
|
|
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Materials/Supplies
Milton Farms Workshop Supplies
Hamilton Pulp & Paper Mill Workshop Supplies
Recycling Center Workshop Supplies
Salvage Yard Workshop Supplies
Poster Board
Paints, Markers, etc |
$50
$100
$100
$25
$50
$25
|
$50
0
$0
$0
$0
$0 |
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Other
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|
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Total |
$2,350 |
$550 |
$600 |
$0 |
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Balance |
|
(A-B) |
|
(C-D) $600 |
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Cash Summary |
AMOUNT REQUESTED $550.00
|
For WEEB Use Only AMOUNT APPROVED |
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Funds Rec’d to Date -0-
|
Disbursements to Date $550.00 |
Cash Balance ($550.00) |
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CERTIFICATION I CERTIFY that all revenue and disbursements reported herein are properly substantiated and reconciled with the financial transactions of this organization’s general ledger, and have not been claimed under any other state or federal program, and do not replace or supplant existing funding from other sources. |
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Signature
Sally Doe |
Date 12/15/1995 |
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