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RPE Fiscal Report Form
A
B
C
D
E
F
G
H
1
Attorney General00 Sexual
Assault Task Force
2
3
Rape Prevention and Education
Activities: Report Form B
Program Fiscal Report
4
5
Agency Name:
6
Reporting Period:
7
Person Filling Out Report:
Date:
8
9
Budget
Category
Reporting
Period
10
07/01/07-9/30/07
10/01/07-12/31/07
01/01/08-03/31/08
04/01/08-06/30/08
Total
Expend- itures to date
Budget
Amount
Variance (Budget amount minus Expenditures
to date)
11
Salaries
$0
$0
12
Benefits
$0
$0
13
Total
Personnel
$0
$0
$0
$0
$0
$0
$0
14
Contractual
Services (Details*)
$0
$0
15
Total Contractual Services
$0
$0
$0
$0
$0
$0
$0
16
Travel
$0
$0
17
Training (detail specific
training expenses and trainings attended*)
$0
$0
18
Office Supplies
$0
$0
19
Advertising
20
Postage
$0
$0
21
Printing/Copying
$0
$0
22
Equipment Rental
$0
$0
23
Total
Services & Supplies
$0
$0
$0
$0
$0
$0
$0
24
Rent/Occupancy/Space
$0
$0
25
Communications (phone, paging,
internet)
$0
$0
26
Other (Details*)
$0
$0
27
Total
Facility/Other
$0
$0
$0
$0
$0
$0
$0
28
PROJECT
TOTAL
$0
$0
$0
$0
$0
$0
$0
29
REQUEST
for Quarter
30
BALANCE
$0
$0
$0
$0
31
32
*Please provide
details on the Tab2 worksheet
Details Worksheet
A
B
C
D
1
Attorney General00 Sexual
Assault Task Force
2
3
Program Fiscal
Report: Details Sheet
4
5
Agency Name:
Reporting Period:
6
7
Budget Category Details
8
Contractual Services
9
Details for each contract
(please be as specific as possible):
10
Details for each contract
(please be as specific as possible):
11
12
Training Expenses
(Person 1)
(Person 2)
Total Expenses
13
Training/Conference/Event Title:
14
Sponsoring Entity:
15
Date(s) of Event:
16
Location of Event:
17
Name of Attendee:
18
*Miles
19
*Mileage Reimbursement Rate
20
Total Mileage
21
*Airfare
22
*Per Diem Amount/Rate
23
*Lodging
24
*Other (specify):
25
Total Expenses
26
*Reimbursment received from other source(s)
(e.g., SATF, DHS, CDC):
27
Total Training/Conference/Event
(1)
28
Training/Conference/Event Title:
29
Sponsoring Entity:
30
Date(s) of Event:
31
Location of Event:
32
Name of Attendee:
33
*Miles
34
*Mileage Reimbursement Rate
35
Total Mileage
36
*Airfare
37
*Per Diem Amount/Rate
38
*Lodging
39
*Other (specify):
40
Total Expenses
41
*Reimbursment received from other source(s)
(e.g., SATF, DHS, CDC):
42
Total Training/Conference/Event
(1)
43
Training/Conference/Event Title:
44
Sponsoring Entity:
45
Date(s) of Event:
46
Location of Event:
47
Name of Attendee:
48
*Miles
49
*Mileage Reimbursement Rate
50
Total Mileage
51
*Airfare
52
*Per Diem Amount/Rate
53
*Lodging
54
*Other (specify):
55
Total Expenses
56
*Reimbursment received from other source(s)
(e.g., SATF, DHS, CDC):
57
Total Training/Conference/Event
(1)
58
Total Training
Expenses
59
*if applicable
60
61
Other Expenses
62
Description of Expense:
63
Amount:
0
64
Description of Expense:
65
Amount:
0
66
Total Other Expenses
67
*Include information
pertaining to how expense was calculated (e.g., rate, percentage, etc.)
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