CM-06-04-077Mail to: PO Box 12516
Austin, TX 78711-2516
TEXAS STATE LIBRARY AND ARCHIVES COMMISSION
FINANCIAL STATUS REPORT
Fax: (512) 475-0185
1. Grantee Name: Round Rock Public Library
Address: 216 E. Main Street
City, St, Zip: Round Rock, TX 78664
Employer ID Number:
Approved Budget
Expenditures
Previously Reported
2. Grant Number:
442-06418
3. Grant Term:
9/1/2005 to 8/31/2006
5. Period Covered by this Report:
From: (month, day, yr.) To: (month, day, yr.)
9/1/2005 2/28/2006
4. Reporting Period: (Please check the appropriate box)
I
y ,.Z$..D%A
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$0.00
❑ 4th
❑ Final
1 st ❑ 2nd ❑ 3rd
6. Budget Categories
Approved Budget
Expenditures
Previously Reported
Expenditures
This Period
Cumulative Total
Expenditures
Grant Funds
Balance
a. Personnel
I
y ,.Z$..D%A
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$0.00
$0.00
$0.00
b. Fringe Benefits
Date Report Submitted
$0.00
$0.00
$0.00
c. Travel
$0.00
$0.00
$0.00
$0.00
$0.00
d. Equipment / Property
$8,900.00
£ ,��F�p� �:��
ty.
$10,012.74
$0.00
$8,900.00
e. Supplies / Materials
$1,224.00
res „ £x'''
Y
$0.00
$0.00
$1,224.00
f. Contractual
v
$10,012.74
$0.00
$0.00
g. Other
��,�
�
�`t@�.,��"�F=�
��� `
$10,124.00
$0.00
$0.00
h. Total Direct Costs
$10,124.00
$0.00
$0.00
$0.00
$10,124.00
i. Indirect Costs
(�4
i�J.k. &
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z
$10,124.00
$0.00
$0.00
j. Total
$10,124.00
$0.00
$0.00
$0.00
$10,124.00
7. Reconciliation
Previously Reported
This Period
Cumulative
a. Total Program Expenditures (Grant funds and Local funds)
Typed or Printed Name and Title
James R. Nuse, City Manager
I
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$0.00
b. Grantee Share of Expenditures (Local funds)
Date Report Submitted
$0.00
c. TSLAC Share of Expenditures (line a minus line b)
$0.00
$0.00
$0.00
d. Total Outstanding Encumbrances (Grant funds and Local funds)
tF
s
£ ,��F�p� �:��
ty.
$10,012.74
e. Grantee Share of Outstanding Encumbrances (Local funds)
A
>F
aid
.s�
res „ £x'''
Y
$0.00
f. TSLAC Share of Outstanding Encumbrances (line d minus line e)
x "'
v
$10,012.74
g. Total TSLAC Funds Received
^" fir
��.
��,�
�
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$10,124.00
h. Total TSLAC Expenditures (line c)
`a
, �
l �
$0.00
i. Balance Due or Cash on Hand (line g minus line h)
J
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i�J.k. &
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z
$10,124.00
8. Remarks: Note any differences from the approved
budget (+/- 10%). Attach additional sheets if needed.
If yes, Funding Source and Amount
9. Program Income ✓ No ❑ Yes
Typed or Printed Name and Title
James R. Nuse, City Manager
I
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Telephone
512-218-5402
Signature of Authorized Certifying Offici I
Date Report Submitted
C.N - olo-o- o1
TSLAC Financial Status Report Form (3/2005)
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CITY MANAGER BLUE SHEET
DATE: April 20, 2006
SUBJECT: City Manager Approval
ITEM: Signature for 1st report, Lone Star Library Grant
Department: Library
Staff Person: Dale Ricklefs
Justification: Certifying official signature is required
Funding:,
Cost: None—this is verification of state grant funds spent to date.
Funds have been received.
Source of funds: Funds already received. All funds have been
encumbered. We began to receive material in March, past the February 28
closing date.
Background Information: Each year we receive funding from the state
through the Lone Star Grant program. This is a
mid -year status report of expenditures.
Updated 3-10-05
Request for City Council/City Manager Action
vo City Council
City Manager
P
Submit completed form for all City Manager and City Council approvals.
Department Name: Library
Contact Person: Dale Ricklefs
Project
Manager/Resource: Dale Ricklefs
Project Coordinator:
Assigned Attorney: Barbara Boulware-Wells
Blue Sheet Wording
For Administration Use ONLY
Received:
Tag # e,M-b(-O4-OT1
Original Documents Received: ( onj
Project Name: Routine Texas State Library Annual Report
ContractorNendor:
Funding Source:
Amount:
Account Number:
Texas State Library and Archives Comm
Texas State Library and Archives Comm
$10,124-- none spent by February 28, 2006
6131
Council or City Manager Approval Date:
Signature for 1st report, Lone Star Library Grant, 2005-06
Finance Information
Is Funding Required?
Yes [Er I No
Initial Construction Contract
Construction Contract Amendment #
Change Order #
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. Ac #
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased:
Amount
Other (Please clearly identify action on lines below)
Finance Approval
EJFinance Date
finance
t/i L- Date 18 i.i j 0 6
JPurchasing Date
EJ Budget Date
Required for Submission of ALL Citv Council and City Manager Items
Project Mgr. Signature:
Dept. Director Signature:
City Attorney Signature*:
City Manager Signature:
pproval is required for all items.
Date:
Date:
Date:
Date:
Updated 2/16/06
ROUND ROCK, TEXAS
PURPOSE. PASSION. PROSPERITY
May 2, 2006
Texas State Library and Archives Commission
P.O. Box 12516
Austin, TX 78711-2516
To Whom It May Concern:
Enclosed is an original Financial Status Report for your files. If you
have any questions, please do not hesitate to contact Dale Ricklefs at
218-7010.
Sincerely,
City Secretary
Enclosure
Mayor
Nyle Maxwell
Mayor Pro -tem
Alan McGraw
Council Members
Rufus Honeycutt
Joe Clifford
Carlos T. Salinas
Scott Rhode
Ted Williamson
City Manager
James R. Nuse, P.E.
City Attorney
Stephan L. Sheets
Inailtukot
Christine R. Martinez
CITY OF ROUND ROCK ADMINISTRATIVE DEPT., 221 East Main Street • Round Rock, Texas 78664
Phone: 512.218.5401 • Fax: 512.218.7097 • www.ci.round-rock.tx.us