fwsd09 12a by 78zq4k7

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									                         WORKFORCE INVESTMENT ACT
                          CLOSEOUT STATUS OF CASH
                                    (Use for all closeouts)



Subgrantee Name and Address




Subgrantee Code

Subgrant or Interagency Agreement Number

Grant Code

Project Term           ____________________ to ____________________

Total Allocation for this line item (grant code):

1. How much cash has been drawn down
   under this line item (grant code)?

2. Total expenditures reported in Section II
   of the WIA EXPD report?

3. Unexpended balance to be deobligated?


                                           Subrecipient’s Authorized Representative


                                           Name (please print)


                                           Signature


                                           Title




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