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188宝金博页面版: School Year - New York State Education Department

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内容提示: August 2015 New York State Nonpublic School Application Reimbursement for School Safety Equipment Years 2 and 3 BEDS Code: OSC Vendor ID: School Name: School Address: Year 1 Carryover + Year 2 Allocation + Year 3 Allocation = Total Allocation + = Unreimbursed Approved Expenditures Year 1 Choose an Option: Use Total Allocation to pay unreimbursed eligible expenditures from Year 1 ? No further documentation i...

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August 2015 New York State Nonpublic School Application Reimbursement for School Safety Equipment Years 2 and 3 BEDS Code: OSC Vendor ID: School Name: School Address: Year 1 Carryover + Year 2 Allocation + Year 3 Allocation = Total Allocation + = Unreimbursed Approved Expenditures Year 1 Choose an Option: Use Total Allocation to pay unreimbursed eligible expenditures from Year 1 • No further documentation is required Use Total Allocation to reimburse for expenditures not included in Year 1 claim • Complete Summary of Expenditures section • Submit invoice and proof of payment Use Total Allocation to reimburse for a combination of the above two options • Complete Summary of Expenditures section for expenditures not included in Year 1 claim • Submit invoice and proof of payment for expenditures not included in Year 1 claim School Safety Certification I hereby certify that the expenditures reported have been incurred and calculated in accordance with all applicable statutes, regulations and guidelines; that the school at which the services were performed is not a for-profit entity; the claim is just and correct; and that the balance is due and owing. Any required building permits were obtained prior to the work being completed. Itemized receipts and proof of payment for the purchase and installation of approved items are available upon request. Original Signature of Chief Administrator Chief Administrator Name(PLEASE PRINT) Date Chief Administrator Email Address Telephone Number Fax Number Person Completing Form (PLEASE PRINT) Title of Person Completing Form Telephone Number Completed forms should be mailed to: NYS Education Department, Office of Grants Management Room 481, EBA Albany, NY 12234

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