CM-08-04-077BLUE SHEET FORMAT
DATE: 3/31/08
SUBJECT: City Manager Approval
ITEM: Routine Lone Star Library Grant Financial Report
Department: Library
Staff Person: Dale L. Ricklefs
Justification: NA
Funding:
Cost: NA
Source of funds: NA
Outside Resources: NA
Background Information: NA
Public Comment: NA
Blue Sheet Format
Updated 01/20/04
Mail to: PO Box 12516
Austin, TX 78711-2516
TEXAS STATE LIBRARY AND ARCHIVES COMMISSION
FINANCIAL STATUS REPORT
Fax: (512) 475-0185
1. Grantee Name: A 1_
Address: p..o0tJ0 12_.e.) UV_ PC.iL3(_(L L!;� ( 2!
('}CS(. . (-(ciFtTi=Uc51 DP -IVC
City, St, Zip: p___0 ci 1‘-2 b QOC.t
i- A 8 � c�
Employer ID Number:
Approved Budget
2. Grant Number: (�
44/2-021122
3. Grant Term:
Sep obi ? to o. 31, D 8
5. Period Covered by this Report:
From: (month, day, yr.) To: (month, day, yr.)
j 01/07 - `, ?k 2F, OS
4. ReportingPeriod: (Please check the appropriate box)
a. Personnel
Telephone
5/2-21S-ift
g 1st ❑ 2nd ❑ 3rd
❑ 4th
❑ Final
6. Budget Categories
Approved Budget
Expenditures
Previously Reported
Expenditures
This Period
Cumulative Total
Expenditures
Grant Funds
Balance
a. Personnel
Telephone
5/2-21S-ift
02
Signature of t rued Certifying Official
$0.00
$0.00
b. Fringe Benefits
$0.00
$0.00
c. Travel
c. TSLAC Share of Expenditures (line a minus line b)
$0.00
$0.00
d. Equipment / Property
$0.00
d. Total Outstanding Encumbrances (Grant funds and Local funds)
$0.00
$0.00
e. Supplies / Materials
e. Grantee Share of Outstanding Encumbrances (Local funds)
$0.00
$0.00
f. Contractual
$0.00
$0.00
g. Other
- "
$0.00
$0.00
h. Total Direct Costs
$0.00
$0.00
$0.00
$0.00
$0.00
i. Indirect Costs
$0.00
$0.00
j. Total
$0.00
$0.00
$0.00
$0.00
$0.00
7. Reconciliation
Previously Reported
9. Program Income Z/No ■ Yes If yes, Funding Source and Amount
This Period
Cumulative
a. Total Program Expenditures (Grant funds and Local funds)
Typed or Printed Name and Title
51 l nu Se_ i OL illy ya.
Telephone
5/2-21S-ift
02
Signature of t rued Certifying Official
Date Report Submitted
y-348
$0.00
b. Grantee Share of Expenditures (Local funds)
$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)
e. Grantee Share of Outstanding Encumbrances (Local funds)
f. TSLAC Share of Outstanding Encumbrances (line d minus line e)
'�
- "
$0.00
g. Total TSLAC Funds Received
h. Total TSLAC Expenditures (line c)
$0.00
i. Balance Due or Cash on Hand (line g minus line h)
y
$0.00
8. Remarks: Note any differences from the approved budget (+1-10%). Attach additional sheets if needed.
9. Program Income Z/No ■ Yes If yes, Funding Source and Amount
Typed or Printed Name and Title
51 l nu Se_ i OL illy ya.
Telephone
5/2-21S-ift
02
Signature of t rued Certifying Official
Date Report Submitted
y-348
TSLAC Financial Status Report Form (3/2005)
CAV\ 04 -1-1-1