Monthly Draw Down - Home Wyoming Community Colleges by tyndale


									                            Adult Basic Education
               Grant Funds Request (Monthly Draw Down Request)
Report Date:                                                                                  Project ID Number
Program Name:
Program Location:
Vendor Number:
Contact Number of Program Representative:
E-mail Contact of Program Representative:
Grant Type:       Federal Regular   EL Civics               State        Other:
              Beginning Pay Period                                                Ending Pay Period

Budget Category                                                                                              Amount
Personnel Salaries
Fringe Benefits
Office/Classroom Space/Rent
Utilities and Contracted Services
Supplies and Copies
Educational Supplies and Materials
In-State and Out-of-State Travel
Dues and Registration
Office Equipment
Administrative Overhead

Sub-Total From Grant Funds Request Supplemental Sheet

                                     Total Expenditures Incurred During Period
                                            Total fees received from students for period

I certify, under penalty of law, that this expenditure report and the items included therein are correct and just in all
respects and are in accordance with the above mentioned agreement.

_____________________________________________________                               _______________________________
Program Representative                                                              Date

_____________________________________________________                               _______________________________
ABE Program Manager                                                                 Date
Wyoming Community College Commission

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                                                                                                           Revised: July 2008

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