Decatur County Schools Foundation

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SAMPLE APPLICATION

PROJECT BUDGET

DECATUR COUNTY SCHOOLS FOUNDATION

(Do not complete areas with asterisks until the project has been completed)


Name: _Jane A. Smith_______   School: _Bainbridge Elementary_______

*1 Approved project amount $__________
*2 Total project expenditure $__________
*3 Unexpended project amount (item 1 less item 2) $__________
*4 Summary of Expenditures $__________


DESCRIPTION BUDGETED AMOUNT *EXPENDITURES
1 Admission Fee -18 Students $180.00 (This Column is

to be filled in at

conclusion of

project)
2
3
4
5
  TOTAL

I do hereby certify that to the best of my knowledge this report is true and complete and the accounting records (receipts/invoices) are on file to document the expenditures reported. The Foundation reserves the right to request supporting documentation.

  JANE A. SMITH      ALMA C. JONES      3/17/01   
Grant Recipient Principal Date

**PLEASE NOTE**
One copy of this form should be retained by school. At the conclusion of the project,
the copy is to be completed, signed and dated by the principal and returned to:
John Monk, P.O. Box 1070, Bainbridge, GA 31718

Grant #             
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