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FISCAL REPORT FOR SAFE ROUTES TO SCHOOL PROGRAMS 2014-2015 <br /> Exhibit A Page 2 of 2 <br /> Agency Name: REPORTING PERIOD <br /> Month <br /> Analyst: Ending: <br /> Report Type mark one): ❑Quarterly ❑Year End Year: <br /> COLUMN A COLUMN B COLUMN C <br /> CUMULATIVE CUMULATIVE <br /> PRIOR <br /> PERIOD CURRENT FISCAL YEAR <br /> (Col. C Prior PERIOD (Col. A+ Col. B) <br /> Report) <br /> SECTION II - EXPENSES <br /> REIMBURSABLE <br /> 1000 Certificated Salaries $0 <br /> 2000 Classified Salaries $0 <br /> 3000 Employee Benefits $0 <br /> 4000 Books and Supplies $0 <br /> 5000 Services and Other Operating Expenses $0 <br /> 6100/6200 Other Approved Capital Outlay $0 <br /> 6400 New Equipment (program-related) $0 <br /> 6500 Equipment Replacement (program- <br /> related) $0 <br /> Depreciation or Use Allowance $0 <br /> Start-Up Expenses (service level exemption) $0 <br /> TOTAL EXPENSES $0 $0 $0 <br /> COMMENTS: (Attach invoices and receipts as appropriate) <br /> CERTIFICATION-4 hereby certify that, to the best of my knowledge and belief, the information in <br /> this report is accurate and complete. <br /> Signature of Agency Designee E-mail Address: Telephone: Date: <br /> (Original signature only) <br /> Designee Name &Title (Please Print) <br /> Agency Fiscal Contact Name &Title E-mail Address: Telephone: Date: <br /> ATTY/AGR/2014.1 1 9/RC 2020 GRANT FOR SAFE ROUTES TO SCHOOL FROM OCE FOR 14-15 Page 7 of 14 <br /> REV:07-08-14 MLG <br />