Acq Cert2011 Flood Maintenance by 59hl91hv

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									                                                          FLOODPLAIN MANAGEMENT PROGRAM
                                                      ACQUITTAL CERTIFICATE - MAINTENANCE GRANTS
                                                                            DUE 30 SEPTEMBER 2011

                                                                          complete shaded sections only
                                                     This certificate only relates to the Financial Year covered by the Subsidy

           PROGRAM                                    Floodplain Management Program - Maintenance Grants
           GRANT REFERENCE NUMBER                     2010-11-FMM-                                                    FUNDING RATIO                   1   :      1

           TOTAL GRANT OFFER FOR 2010/11 $0
           GRANT RECIPIENT                            grant recipient
           PROJECT NAME


                                                                  PROJECT BUDGET AND EXPENDITURE
                                                Item Description                                                                 Actual Expenditure
                                            (Based on OEH Approval)                                                                   Excluding GST




                                                                                                  Totals                                                      $0.00



           Actual expenditure this financial year                                                                                                             $0.00
           Council's share this financial year (GST EXCLUSIVE)                                                                                                $0.00
           Government's share this financial year (GST EXCLUSIVE)                                                                                             $0.00
                                                                              * Delete as appropriate

           1. The amounts stated above are correct & the sum of                $                     -       from funds made available by the Government
                 and the sum of                       $              -               from                 grant recipient        funds have
                 been actually and properly                            expended                     on the approved project and are in accordance with
                 the Funding Agreement dated             Enter Date                2010/11          financial year.
           2. All requested information/drawings/reports/computer files have been furnished.
           3. Work as executed information, as furnished, accurately represents the work undertaken.
                                                                            Name                       name
                               GENERAL MANAGER                              Position                   position
                        (or Officer with delegated authority)               Signature                  signature
                                                                            Date                       date
                                                              Office of Environment and Heritage Use Only
                          Expenditure Confirmed. The total Government(s) expenditure against this Financial Years Subsidy is      $               -
                        All Project Materials have been handed over in accordance with the Project Brief / Contract Documents                   Yes / No
                                                              Name                                                     Title
                  OEH REPRESENTATIVE
                                                            Signature                                                  Date

                          Submit the completed form electronically to the Grants Unit at: coastalestuary.floodgrants@environment.nsw.gov.au
                                                                                 OR
                                Ensure you print ALL pages of this workbook before posting the completed acquittal certificate to:
                                                                     Grants Program Coordinator
                                                               Waters, Wetlands and Coast Division
                                                                 Office of Environment and Heritage
                                                              PO Box 3720 PARRAMATTA NSW 2124

                                                 The acquittal certificate should be submitted no later than 30 September 2011.




Please submit to Grants Program Coordinator, Waters Wetlands and Coast Division OEH PO Box 3720 Parramatta NSW 2124 or via email at
coastalestuary.floodgrants@environment.nsw.gov.au
Please submit to Grants Program Coordinator, Waters Wetlands and Coast Division OEH PO Box 3720 Parramatta NSW 2124 or via email at
coastalestuary.floodgrants@environment.nsw.gov.au

								
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