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Fort Walton Beach Council agenda — 09-04-12 regular — reading text
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reimbursement for travel, you must include copies of receipts and a copy of the travel
reimbursement form (available from staff of the Florida Coastal Management Program or use your
affiliation' s reimbursement form, provided it has been approved by the Florida Department of Financial
Services).
PAYMENT WILL BE BASED ON COMPLETION OF DELIVERABLES: Deliverables
must be submitted and approved prior to payment **
If you have any questions please do not hesitate to contact Dornecia Allen at ( 850) 245 -2180.
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DEP Agreement No. CM234, Attachment C, Page 3 of 10
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DEPARTMENT OF ENVIRONMENTAL PROTECTION
FLORIDA COASTAL MANAGEMENT PROGRAM
INSTRUCTIONS FOR COMPLETING
EXHIBIT - I
SCHEDULE OF INVOICES FOR REIMBURSEMENT
DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM
PROJECT TITLE: Enter the Title shown on the first page of the grant agreement.
PERFORMANCE PERIOD: This is the beginning and ending date of the reporting period.
DELIVERABLE NO.: Enter the number of the deliverable that you are requesting payment for.
DELIVERABLE AMOUNT REQUESTED: This is the total amount of expenses from all approved budget
categories for the deliverable.
Salaries: Provide an itemized listing of expenditures for Salaries if applicable. Include the invoice number, invoice
date, description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number /voucher number, check amount/transaction number, and amount claimed.
Fringe Benefits: Provide an itemized listing of expenditures for Fringe Benefits if applicable. Include the invoice
number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the
transaction, check number /voucher number, check amount/transaction number, and amount claimed.
Travel: Provide an itemized listing of expenditures for Travel if applicable. Include the invoice number, invoice
date, description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number /voucher number, check amount/transaction number, and amount claimed.
Equipment: Provide an itemized listing of expenditures for Equipment if applicable. Include the invoice number,
invoice date, description of the. goods or services purchased, vendor name, invoice amount, date of the transaction,
check number /voucher number, check amount/transaction number, and amount claimed.
Supplies: Provide an itemized listing of expenditures for Supplies if applicable. Include the invoice number,
invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the transaction,
check number /voucher number, check amount/transaction number, and amount claimed.
Contractual Services: Provide an itemized listing of expenditures for Contractual Services if applicable. Include
the invoice number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date
of the transaction, check number /voucher number, check amount/transaction number, and amount claimed.
Other Expenses: Provide an itemized listing of expenditures for Other Expenses if applicable. Include the invoice
number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the
transaction, check number /voucher number, check amount/transaction number, and amount claimed.
Indirect Charges: Provide the amount of the indirect to be charged to this Deliverable. Provide percentage or rate
used for calculation.
A SCHEDULE OF INVOICES FORM IS REQUIRED FOR EACH DELIVERABLE.
PAYMENT WILL BE BASED ON COMPLETION OF DELIVERABLES: Deliverables must be submitted
and approved prior to payment **
DEP Agreement No. CM234, Attachment C, Page 6 of 10
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DEPARTMENT OF ENVIRONMENTAL PROTECTION
FLORIDA COASTAL MANAGEMENT PROGRAM
INSTRUCTIONS FOR COMPLETING
EXHIBIT - H
SCHEDULE OF MATCH
DEP AGREEMENT NO.: This is the number on your grant agreement that starts with CM
PROJECT TITLE: Enter the Title shown on the first page of the grant agreement.
PERFORMANCE PERIOD: This is the beginning and ending date of the reporting period.
DELIVERABLE NO.: Enter the number of the deliverable that you are requesting payment for.
DELIVERABLE MATCH AMOUNT CLAIMED: This is the total amount of match expenses from all approved
budget categories for the deliverable.
Salaries: Provide an itemized listing of match for Salaries if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number /voucher number, check amount/transaction number, and amount claimed.
Fringe Benefits: Provide an itemized listing of match for Fringe Benefits if applicable. Include the invoice
number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the
transaction, check number /voucher number, check amount/transaction number, and amount claimed.
Travel: Provide an itemized listing of match for Travel if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number /voucher number, check amount/transaction number, and amount claimed.
Equipment: Provide an itemized listing of match for Equipment if applicable. Include the invoice number, invoice
date, description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number /voucher number, check amount/transaction number, and amount claimed.
Supplies: Provide an itemized listing of match for Supplies if applicable. Include the invoice number, invoice date,
description of the goods or services purchased, vendor name, invoice amount, date of the transaction, check
number /voucher number, check amount/transaction number, and amount claimed.
Contractual Services: Provide an itemized listing of match for Contractual Services if applicable. Include the
invoice number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of
the transaction, check number /voucher number, check amount/transaction number, and amount claimed.
Other Expenses: Provide an itemized listing of match for Other Expenses if applicable. Include the invoice
number, invoice date, description of the goods or services purchased, vendor name, invoice amount, date of the
transaction, check number /voucher number, check amount/transaction number, and amount claimed.
A SCHEDULE OF MATCH FORM IS REQUIRED FOR EACH DELIVERABLE.
PAYMENT WILL BE BASED ON COMPLETION OF DELIVERABLES: Deliverables must be submitted
and approved prior to payment **
DEP Agreement No. CM234, Attachment C, Page 9 of 10
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ATTACHMENT D
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DEP AGREEMENT NO. CM
Project Title
Grantee Name
Final Project Report
ATr
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R?-R?- MENTMENT OFOF
ThisThis reportreport fundedfunded inin part,part, throughthrough aa grantgrant agreementagreement fromfrom thethe FloridaFlorida DepartmentDepartment ofof
EnvironmentalEnvironmental Protection,Protection, FloridaFlorida CoastalCoastal ManagementManagement Program,Program, byby aa grantgrant providedprovided byby thethe
OfficeOffice ofof OceanOcean andand CoastalCoastal ResourceResource ManagementManagement underunder thethe CoastalCoastal ZoneZone ManagementManagement ActAct ofof
1972,1972, asas amended,amended, NationalNational OceanicOceanic andand Atmospheric Atmospheric AdministrationAdministration AwardAward No.No.
111e111e views,views, statements,statements, findings,findings, conclusionsconclusions andand recommendationsrecommendations expressedexpressed hereinherein areare thosethose ofof
thethe author(author( s)s) andand dodo notnot necessarily necessarily reflectreflect thethe viewsviews ofof thethe StateState ofof Florida,Florida, NOAANOAA oror anyany ofof
theirtheir subagencies.subagencies.
MonthMonth
& & yearyear
DEPDEP AgreementAgreement No.No. CM234,CM234, AttachmentAttachment D,D, PagePage 11 ofof 44
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Final Project Report for CM
Project Title
Executive
DEP Agreement No. CM234, Attachment D, Page 2 of 4
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