Expenditure Claim Form

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Expenditure Claim Form Powered By Docstoc
					                                                             TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF)
                                                   Oklahoma Department of Career and Technology Education Request for Reimbursement
                                                              Reports are due October 17, January 23, April 17, and July 17

District or Consortium Name                                                                                               E-Mail Address LEA Contact
                                                                                                                          E-Mail Address LEA Finance Contact
Mailing Address & Zip Code                                                                                                Allocation                                        Total                   Federal                    State

LEA Contact Person                                                                                                        Claim Date
LEA Contact Phone
Finance Contact Person                                                                                                    Period Covered                              From:                                            To:
Finance Contact Phone
School FAX Number                                                                                                         Claim Type                                  Partial                                          Final

             1st Quarter




                                                                                                                                                                          JOB DEVELOPMENT
                                               OCCUPATIONAL




                                                                                                                                                                                                                                                  EXPENDITURES
                                                                                                                                                                                                                               COORDINATOR
                                                                                    ADMIN. COST &




                                                                                                                                                                                                    EEC/LEARNING




                                                                                                                                                                                                                               EXPENDITURE
                                                EXPENDITURE




                                                                  EXPENDITURE




                                                                                    EXPENDITURE




                                                                                                        EXPENDITURE




                                                                                                                                           EXPENDITURE




                                                                                                                                                                            EXPENDITURE




                                                                                                                                                                                                    EXPENDITURE
                                                                                                                                                                            & PLACEMENT
                                                                  SOCIAL WORK




                                                                                    SUPERVISION




                                                                                                                                           ASSESSMENT
                                                                                                         GUIDANCE
                                    FUNCTION



                                                  TRAINING




                                                                    SEVICES




                                                                                                                                                                                                        LABS
OBJECT                                           1500               2113              2490              2122                               2123                             2126                      2192                     2430              TOTAL
100 Salaries                                                                                                                                                                                                                                                     -
200 Benefits                                                                                                                                                                                                                                                     -
320 ProfessionalServices                                                                                                                                                                                                                                         -
336 Medical/Dental Services                                                                                                                                                                                                                                      -
430 Repair & Maintenance                                                                                                                                                                                                                                         -
440 Rentals or Lease Services                                                                                                                                                                                                                                    -
510 Student Transportation                                                                                                                                                                                                                                       -
530 Communications Services                                                                                                                                                                                                                                      -
540 Advertising/Printing                                                                                                                                                                                                                                         -
561 Tuition                                                                                                                                                                                                                                                      -
569 Assessment Fees                                                                                                                                                                                                                                              -
580 Travel                                                                                                                                                                                                                                                       -
610 Supplies & Books                                                                                                                                                                                                                                             -
650 Tech-Related Items & Supplies                                                                                                                                                                                                                                -
730 Equipment & Captial Expend.                                                                                                                                                                                                                                  -
810 Dues/ Fees (Students Only)                                                                                                                                                                                                                                   -
860 Staff Registration/Tuition                                                                                                                                                                                                                                   -
880 Student Assistance                                                                                                                                                                                                                                           -
 TOTAL DIRECT COST                                            -                 -                   -                 -                                        -                            -                      -                         -                   -
900 Indirect Cost                                                                                                                                                                                                                                                -

                                                                                                                                                         Federal %:                             Total This Claim                                                 -

              Name of Superintendent and/or Designee:                                                                                                                                           Federal Share                                                    -
                                        Date:
                                                                                                                                                                                                Non-Federal Share                                                -

				
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Description: Expenditure Claim Form document sample