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<br />.. <br /> <br />" . <br /> <br />'""-¡-, <br /> <br />Date of 1 st Review <br />Date Approved <br />BJA Staff <br /> <br />BOYS & GIRLS CLUBS OF SANTA ANA <br /> <br />Workforce Investment Board <br />ESTIMATED 2004-2005 Teen Employment Budget <br /> <br />DATES COVERED BY THIS REPORT: <br /> <br />7/1/2004 6/30/2005 <br />From To <br /> <br />Boys & Girls Club of Santa Ana <br />Name of Organization <br /> <br />Career Prep <br />Program <br /> <br />Santa Ana, CA <br />City, State <br /> <br />Enedina Mejia <br />Report Prepared By <br /> <br />714/565-2637 <br />Phone Number <br /> <br />714/543-4613 <br />Fax Number <br /> <br />FOR ITEMS (C) THROUGH (J) YOU MUST ATTACH COPIES OF RECEIPTS, <br />PAID BILLS, ETC. FOR ALL INDIVIDUAL PURCHASES/EXPENSES OVER $1,000 <br /> <br />(A) GROSS SALARY (no documentation required) <br />(B) BENEFITS (no documentation required) <br />(C) BOOKKEEPING/CONSULTANT SERVICES <br />(D) TRAVELITRAINING <br />(E) EQUIPMENT <br />(F) SUPPLIES <br />(G) BUILDING COSTS <br />(H) TELEPHONE <br />(I) POSTAGE <br />(J) OTHER EXPENSES <br /> <br /> $45,747.26 Receipts <br /> $14,518.66 attached? <br /> $0.00 <br /> $400.00 <br /> $0.00 <br />J $5,476.28 <br /> $800.00 <br /> $250.00 <br /> $0.00 <br /> $5,842.80 <br /> $73,035.00 AI~ tV ¡:, <br /> <br />TOTAL <br /> <br />By signing below, I certify that: <br />1. the expenses charged to this grant are allowable as outlined in the letter of agreement, the Office of Justice <br />Programs (OJP) Financial Guide, and Office of Manågement and Budgel (OMB) Circulars A-122, A-110, and A-133. <br />2. ail travel expenses charged to the grant do not exceed the applicable maximum Federal per diem rates. <br />3. I understand, if requested by the Office of the Comptroller, Bureau of Justice Assistance, or Boys & Girls Clubs <br />of America, appropriate documentation of all expenses charged to this grant will be made available in a timely <br />and unrestricted manner. <br />4. documentation is attached for all individual non-personnel expenditures over $1,000. <br />5. I understand the closeout of this grant does not affect the right of the Bureau of Justice Assistance or Boys <br />& Girls Clubs of America to disallow costs and recover funds on Ihe basis of a later audit or review: <br />6. I understand any funds paid to the organization in excess of the amount to which the organization is finally <br />determined to be entitled under the terms and conditions of the award constitute a debt to the Federal Government. <br /> <br /> <br />G Jjf) IOLJ <br />I / <br /> <br />Date <br /> <br />WIB 02-03 Reimbursement Form <br /> <br />(A) <br />(B) <br />(C) <br />(D) <br />(E) <br />(F) <br />(G) <br />(H) <br />(I) <br />(J) <br />u-vt-.d.s <br />-fw \:u a..del..d. <br /> <br />Page 1 <br />