Updated 10/13/06
SCHEDULE OF EXPENDITURES
Expense Description
Check No. Total
Applicant FIND
(Should
correspond to
Vendor Name and Date Cost
Cost Cost
Categories in Exhibit "B") ______________________________________________________________________________
_______________________________________________________________________________
Certification
for Reimbursement: I certify that the
above expenses were necessary and reasonable for the accomplishment of the
approved project and that these expenses are in accordance with Exhibit
"B" of the Project Agreement. *
___________________________
___________________________
Project Liaison Date
*S. 837.06 Florida Statutes, False official statements. - Whoever
knowingly makes a false statement in writing with the intent to mislead a
public servant in the performance of his or her official duty shall be guilty
of a misdemeanor of the second degree, punishable as provided in s. 775.082 or
s. 775.083 F.S.
Page Two
FIND - Form No. 90-14
Effective
Date __-__-02)
===============================================================================================================Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.” This notice is required by Sec. 668.6076, F.S., which is effective July 1, 2006.