CashIn-kind Match Form - Florida by pengtt

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									                               Florida Learn & Serve, 2009-2010 Formula Grant Projects
                         Cumulative Summary/Documentation of Cash and In-Kind Match Report

School and/or District:
Project #:                                                      Contact:
Address:
Phone:                                  Fax:                                      E-mail:
Please E-Mail completed report to: jbetancourt@admin.fsu.edu

                                     MATCH UPDATE 1—JULY 1–DEC. 31, 2009 ● DUE JAN. 11, 2010
1. Receipt 2. Source of                 3. Narrative Description/Type of Match                       4. Cash   5. In-Kind
Date       Match/Name of                (Include how the match value was determined/calculated)      Match     Match
           Donor




                                                                                            TOTALS



Attach source documentation for all claimed match—see instructions for details.

Complete Summary/Documentation of Cash and In-Kind Match Report for L&S Formula Grant                                  1
                               Florida Learn & Serve, 2009-2010 Formula Grant Projects
                         Cumulative Summary/Documentation of Cash and In-Kind Match Report

School and/or District:
Project #:                                                      Contact:
Address:
Phone:                                  Fax:                                      E-mail:
Please E-Mail completed report to: jbetancourt@admin.fsu.edu

                         MATCH UPDATE 2—JAN. 1 – JUNE 30, 2010 ● DUE JULY 12, 2010
1. Receipt 2. Source of      3. Narrative Description/Type of Match                                  4. Cash   5. In-Kind
Date       Match/Name of     (Include How the Match Value was Determined)                            Match     Match
           Donor




                                                                                            TOTALS



Attach source documentation for all claimed match—see instructions for details.

Complete Summary/Documentation of Cash and In-Kind Match Report for L&S Formula Grant                                  2
                               Florida Learn & Serve, 2009-2010 Formula Grant Projects
                         Cumulative Summary/Documentation of Cash and In-Kind Match Report

School and/or District:
Project #:                                                      Contact:
Address:
Phone:                                  Fax:                                      E-mail:
Please E-Mail completed report to: jbetancourt@admin.fsu.edu

                                    MATCH UPDATE 3—JULY 1 – JULY 31, 2010 (unless extended) *
                                        DUE WITH FINAL REPORT ON SEPTEMBER 20, 2010

1. Receipt 2. Source of                    3. Narrative Description/Type of Match               4. Cash   5. In-Kind
Date       Match/Name of                   (Include How the Match Value was Determined)         Match     Match
           Donor




Attach source documentation for all claimed match—see instructions for details.

Complete Summary/Documentation of Cash and In-Kind Match Report for L&S Formula Grant                             3
                               Florida Learn & Serve, 2009-2010 Formula Grant Projects
                         Cumulative Summary/Documentation of Cash and In-Kind Match Report

School and/or District:
Project #:                                                      Contact:
Address:
Phone:                                  Fax:                                      E-mail:
Please E-Mail completed report to: jbetancourt@admin.fsu.edu
                           MATCH UPDATE 3—JULY 1 – JULY 31, 2010 (unless extended) *
                                  DUE WITH FINAL REPORT ON SEPTEMBER 20, 2010

1. Receipt 2. Source of                    3. Narrative Description/Type of Match                    4. Cash     5. In-Kind
Date       Match/Name of                   (Include How the Match Value was Determined)              Match       Match
           Donor


                                                                                            TOTALS


                                       CUMMULATIVE MATCH REPORT
                                PROJECT PERIOD: JULY 1 – END OF GRANT
                                         DUE WITH FINAL REPORT
                                          (Includes any extensions)
               Project Period:                              Cash Match                               In-Kind Match
MATCH UPDATE 1 ● JULY 1 – DEC 31, 2009

MATCH UPDATE 2 ● JAN 1 – JUNE 30, 2010

MATCH UPDATE 3 ● JULY 1 – JULY 31, 2010 (unless
extended)


Attach source documentation for all claimed match—see instructions for details.

Complete Summary/Documentation of Cash and In-Kind Match Report for L&S Formula Grant                                    4
                               Florida Learn & Serve, 2009-2010 Formula Grant Projects
                         Cumulative Summary/Documentation of Cash and In-Kind Match Report

School and/or District:
Project #:                                                      Contact:
Address:
Phone:                                  Fax:                                      E-mail:
Please E-Mail completed report to: jbetancourt@admin.fsu.edu
                                           CUMMULATIVE MATCH REPORT
                                     PROJECT PERIOD: JULY 1 – END OF GRANT
                                              DUE WITH FINAL REPORT
                                               (Includes any extensions)
                 Project Period:                                 Cash Match                 In-Kind Match

                                                        TOTALS




Attach source documentation for all claimed match—see instructions for details.

Complete Summary/Documentation of Cash and In-Kind Match Report for L&S Formula Grant                       5

								
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