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Exhibit B <br /> FISCAL REPORT FOR SAFE ROUTES TO SCHOOL PROGRAMS 2016-2017 <br /> School District Name: REPORTING PERIOD <br /> Analyst: Month Ending: <br /> Report Type (mark one): ❑ lnterium ❑Year End Year: • <br /> Quarter 1 Quarter 2 Quarter 3 Quarter 4 CUMULATIVE <br /> SECTION III - EXPENSES <br /> REIMBURSABLE <br /> 1000 Certificated Salaries $0 <br /> 2000 Classified Salaries <br /> $0 <br /> 3000 Employee Benefits <br /> $0 <br /> 4000 Books and Supplies <br /> $0 <br /> 5000 Services and Other Operating Expenses $0 <br /> 6100/6200 Other Approved Capital Outlay $0 <br /> 6400 New Equipment (program-related) <br /> so <br /> 6500 Equipment Replacement (program-related) <br /> $0 <br /> • <br /> Walk Audit(s) $0 <br /> TOTAL EXPENSES $0 $0 $0 $0 $0 <br /> COMMENTS: (Attach invoices and receipts as appropriate) <br /> CERTIFICATION: <br /> I hereby certify that, to the best of my knowledge and belief, the information in this report is accurate and complete. <br /> Signature of School District Designee E-mail Address: Telephone: Date: <br /> (Original signature only) <br /> Designee Name & Title (Please Print): <br /> School District Fiscal Contact Name & Title: E-mail Address: Telephone: Date: <br /> F, f9A&f.1d16. 191/San Mateo County Superint?B?J ffAchools FY16-17 <br /> i <br />