Other Grant Funds by 7Q3dg431

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									                                   FY2013 Other Grant Funds – Application Attachment

Agency Name: ____________________________________________________________


Other Grant Funds Table Instructions:

Use the table below to list all federal and state grant funds currently received or pending award (applied but not yet received) by your
agency. Only report funds to be used during the 2013 fiscal year timeframe (July 1, 2012-June 30, 2013) as they relate to the criminal
justice projects and/or victim service field.

Provide the fund source name (i.e., U.S. Department of Justice); grant number/ID; time period of the funding; amount of funds for
FY2013; and the general purpose of these funds as utilized by your agency. Any pending awards should be labeled as “pending” in the
Grant Number/ID column. If a pending award is received, please notify your OCJP program manager.

Note: If your agency already has a similar fund source tracking document, then you may submit that document with your OCJP grant
application in place of this form. Contact your OCJP program manager with any questions.

                                                                                   Amount of Funding for
 Grant Funding Source       Grant Number/ID             Time Period of Funding                                 Purpose of the funds
                                                                                   2012-2013 Fiscal Year




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