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STATE OF NORTH DAKOTA <br />DIVISION OF EMERGENCY MANAGEMENT <br /> <br />Quarterly Financial Report Detail <br /> <br />Grant/Project Title: <br /> <br />FY: <br /> <br />Subgrantee: <br />Address: <br /> <br />Reporting Period <br /> <br />From: <br /> <br />DEM Grant Code: <br />Program Officer: <br />Report Number: <br /> I To: <br /> <br />FORM TO BE COMPLETED BY AUTHORIZED FISCAL AUTHORITY <br /> <br />Itemize expenditures under each category. Use additional sheets as necessary. <br /> <br />Personnel Costs: <br /> <br /> TOTAL Personnel Costs: <br />Office Expenses/Supplies: <br /> <br />Travel: <br /> <br />Total Office Expenses/Supplies: <br /> <br />Equipment: <br /> <br />Total Travel Expenses: <br /> <br /> Total Equipment Expenses: <br />Contracting Costs: <br /> <br />Total Contracting Costs: <br />Other: <br /> <br />Total Amount Expended <br />FEDERAL SHARE <br /> <br />Total Other Costs: <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />$ <br />$ <br />$ <br /> <br />$ <br />$ <br />$ <br /> <br />$ <br /> <br />$ <br />$ <br />$ <br />$ <br /> <br />DEM Form G7, December 2003 Approval: ~ Yes ~ No FOR DEM USE ONLY <br /> <br /> <br />