AMS Grant Programs Worksheet to Accompany the SF-270 Request for Advance/Reimbursement |
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Grant Agreement Number: |
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Recipient Organization: |
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Recipient Contact: |
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Time Period of Request: |
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No. |
Date of Expense |
Payee |
Amount |
Amount of Matching Funds (LFPP Only) |
Budget/Section |
Notes |
Receipt Available? |
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Insert date of expense MM/DD/YYYY |
List name of payee |
Amount of Expense to be Requested (federal) with this Payment |
Amount of Matching Funds to be Reported with this Payment |
Select budget category from drop down menu |
Add any notes to explain expenses as appropriate |
Select Yes or No |
1 |
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Personnel |
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Yes |
2 |
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Contractual |
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3 |
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Fringe |
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4 |
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Travel |
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5 |
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Equipment |
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6 |
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Supplies |
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7 |
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Misc or Other |
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8 |
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Indirect Costs |
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9 |
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Personnel |
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10 |
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Contractual |
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Totals |
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Budget Category |
Total (Federal Funds Requested) |
Total (Matching Funds Reported) |
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Personnel |
$- |
$- |
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Contractual |
$- |
$- |
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Fringe |
$- |
$- |
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Travel |
$- |
$- |
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Equipment |
$- |
$- |
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Supplies |
$- |
$- |
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Misc |
$- |
$- |
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Indirect Costs |
$- |
$- |
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ALL EXPENSES |
$- |
$- |
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* Payments will be transferred to the bank account registry in your SAM.GOV profile. Please, make sure you have the correct bank account. Any updates in the account take 2 weeks to be reflected in Financial System of our Budget office. |
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