HomeMy WebLinkAboutQuarter Report 1st (0002)EXHIBIT C 1st QUARTER REPORT
Organization:
Contact person:
Mailing Address:
Phone Number/Email:
LTAC Funds received from the County 1st QTR:
Due by April 30th to afmcknight@co.jefferson.wa.us
ORGANIZATION
Amount Awarded by JeffCo
Received
From JeffCo
Overspent (+) Underspent (-) of LTAC funds
Refund Required
TOTAL 1st QTR LTAC FUNDS SPENT
LTAC funds spent by your organization 1st QTR (include 200 word limit regarding activities and funds spent with an itemized statement:
LTAC funds balance remaining 1st QTR:
Please attach your organization’s report for all revenue, marketing, services, programs and activities for
the this quarter of January through March (1st) quarter.
This report and any attachments may be subject to disclosure as a public record under the Public Records Act, RCW Chapter 42.56. A minimum of six years, you must maintain documented
proof of payments made, contracts executed and other expenditures authorized under your Agreement with Jefferson County. Upon reasonable notice, you must be able to provide access to
County or State representatives to audit those records.