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MICHIGAN CAMPUS COMPACT - DOC

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					                                 MICHIGAN CAMPUS COMPACT
                                     Venture Grant Cycle #36
                                STATEMENT OF FINAL EXPENSES

Grantee Name(s): ______________________________________________________________
Project Name: _________________________________________________________________
Project Institution: _____________________________________________________________
Period Covered by Report: September 1, 2008 to August 31, 2009

                                                               1                 2                  3
Please provide line item names in the space below and their    Award             Cumulative         Award
corresponding awarded, expended, and balance dollar            Total             Expenses           Balance
amounts in columns 1-3.                                        (Budget)          (Actual)           (1– 2)
Grant Detail:




Grant Subtotal:

Matching Requirement Detail:




Matching Subtotal:

TOTAL:


I certify that to the best of knowledge, the information presented above is accurate and adheres to all grant
guidelines and expectations.

Grant Recipient:                                              Authorized Institutional Fiscal Officer:

___________________________________                           _________________________________________
      Signature and Date                                            Signature and Date

___________________________________                           _________________________________________
      Name & Title (printed)                                        Name & Title (printed)


This form, along with a check for any unexpended funds, should be returned by
September 30, 2009
to: Michigan Campus Compact
1048 Pierpont, Suite 3
Lansing, MI 48911

				
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Description: MICHIGAN CAMPUS COMPACT