Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program
Project Generated Income Report
Subgrantee
Report #
Project Title
Project Period Start Date End Date
Report Period From To
(1)
Total Program Income including Interest for this Report Period (b) NOTE: See Instructions
(2)
PGI for this Report Period (a) %
(3)
Total PGI Earned to Date
(4)
Total PGI Unbudgeted
(5)
(6)
Requesting Approval to Expend by Budget Category
(7)
Expenditures to Date by Budget Category
(8)
Balance to be Expended by Budget Category
Budget Category
Salaries & Benefits Contractual Services Expenses Operating Capital Outlay Total I certify to the best of my knowledge the above reflects an accurate assessment of PGI received to date. Project Director Signature: Date:
Typed Name of Project Director:
The attached Budget Narrative Form must be completed when requesting approval to expend PGI.
State of Florida Department of Law Enforcement Rule 11D-9.006
PGI Form OCJG – 004 (rev. 08/08/03) Previous editions are obsolete
Edward Byrne Memorial State and Local Law Enforcement Assistance Formula Grant Program
Project Generated Income Report
Report #___ Project Number
Report Period
Project Generated Income Budget Narrative
From
To
You must describe line items for each applicable Budget Category for which you are requesting approval to expend. Start below and use continuation pages as necessary. Please include previously approved item descriptions, quantities, unit prices and total cost, to allow for tracking of cumulative expenditures.
Item Description
Qty
Unit Price
Total
Total
State of Florida Department of Law Enforcement Rule 11D-9.006
PGI Form OCJG – 004 (rev. 08/08/03) Previous editions are obsolete