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HomeMy WebLinkAboutReel_0018A ,....t PROGRAtJ/CONTRACT ACCOUNTABILITY WORKSREET E. BUDGET INFORMATION l. Original award amount or contract limit $ 2. Add: Additions + 3. Less: Deletions 4. Total award/ contract amount 5. Less: expendi tures prior to 1/1/83 6. Award/contract amount available for 1983 F. MISCELLANEOUS FINANCIAL INFORMATION 1. Program cash/invest- ,1/, ,d.c? ments at 12/31/g3 ./) al/: /2 d, de? .;:' 7. 8. -- Less: expenditures in 1983 Unexpended at 12/31/83 $ '.':/: 9. lias this unexpended amount eXpired?@N 10. List dollars, if any. of this unexpended amount that're encumbered: 2. Program payables at 12/31/83 External advances at 12/31/83 Int"erfund loans at 12/31/83 $ $ $ 3. 4. 5. In-kind reported to grantor $ 6. Honeys passed-tbrough to sub recipients $ ,-,/,7. Expenditure code(s) for pass- through moneys: 11. Is this budget for external funding only or does it include entity moneys budgeted for this program? External only ~ Complete program budget Questioned amount G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM $ t"f~,7.J /2,;;/. a::; .r/ ":::"""l,~ c..? ("~ Summary of current st~tus (attach copies of corr~spondence with grantors supporting disvosi~ion) I. $ 2. 3. 4. II. REPORT DATA I. Prepa red by: 2. Phone Nwnbe r: &(.0 4u::J~,-.- ,-,'f.s- ~.~ CI,... 6-4, I, , I I o f, I I I ~ ~ ' ;;" .. u ~ ~ ~ ~ g~",~~;~ I'~<;G~:~ " c ~ ".J - .~ :.:.; ":J ;~~:iE "-,,,-, :0.;; :: ... ~ " "- " ,.. ::: ~ '" :. 'I, ,; ~~- ~ .' ;.., > ;:: U <C ... '" , ;:! ~ :.. C :n " ;! c ~ <I ~ '" "'::l 'n-, u " ~ C L. c;,; :.I ~ ~I~ :/ .. -< u ....,~ c; - u eJ.~ tn 1I:"'C :.I :> I; 1l '~l':n-;:: :J c:.I )C ::: =' " o c E :.I OJ ",i~ ] c .. iJ., li. '" ...l o C ...."'::l rr w ..... (.l OJ :c .. c tJ C ~ c:.I UJ G.I":: e > 'n ~ (J_"j cr. Q ..... u .. u C " C :; "':::I CJ .. " 00- ~ -<-" ... _ u '" " :n " ~ Q.I :J :L1 ='''0 ""=''''0 "':l ::I = ::l ,,-< ..:: u u u u c ." - " e \, ~ '" ;:; , r. \ '-' " ;" " ,', ',' - , ;.", ",;,.'" , " '.:,' ..'. ,',: ",:, ' ," ',",c',; ::, .::.>, ' ':":"",,'-' ," ':, """', ,'. "" '.,,'," ',' ,'.. ' " " ": .' " ' "'\ "', ',:,:: '" " " ;"'" ,'."" ;','. ,:-' "".',' <' '..., ,,',.' , ',' ':, : "',, ,', .,' "" ',; " -';" , " ,,', :' , <., ,: .'. ",," ,.> .','",,'..,', ,,:' ':,:' ,..' ",:' --",',:",", :: '-':::', , ' "':,: ,.:- . > ,,' ',' ,,'.- " ': ---.,.--" .._--_._-~~-- .- ,- r--- G :::> 0"1 "',.. =:t.:J ~ g/ ~ < ' '" I \) ~ ~ I.) ,.. :::> , ~~ ~ zo ~ ~[1 5 ~, \ U L:.: I..; ~ ~ , ~ ~ '\ ..: "- ~ lu~ ~ -j z_ ~' -... :co u"" '0' ...- J :$'" \;' ....... I z , \ 0 '5- ._J '-' ~~ ~ I I n "- \) I I " g: <I ~ I "" I <C "'''' ....'" "1 => !;;~ "'~ " gj"" :> u ~ ~ ~ j;! , ~ u , ~ o 'l, " ~g:~~ ,... Q )I ~ ~ ~ ) ut;I- ffi '" ~ '" , , < ~ ~; ~ J <> 3(:; ;:;:? iS~ o-I~ ~::.#1 <=>< ~;-. ...VI . . ~ '. . 6.J'i 0 ... ...; ,.; ..; .'\ ...; ..: .; .,; ~, ~ ~ ~ ~ ,- ~ ~ ~ ::J .0 " '.. .- :-, '" " ":.,, .-, ': ;,i ,:', '" , .... " ',.'..: .' ,: '" " ,:' ',:',; " .. ,:.", " ....:"- ,', ,',' ,',' '., ,""" :'..,', .,:' , : , " " ,",' "',,, ' ',", , (i:/:~i'\:' ' , "';',::':>' , , :"ii,: ':' > '"" ':, " ,:.':;' ,-,' .~. .' , . .~.. ',.' ,". ,.." ','~ t'lj,.,.lO' . . PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET A. Agreement Identification: Fund No. ~ Fund Name ;z?"p--,o Dept/Program No. Revenue Code ~ ",-~~..(/ 2J Dept/Program Name Funding Source (s) ~.....I, ..sY-Jro!:" L)(;.-p,r~,:: 7R.,4"v.$~.e (Give name of ~/state/~department of agency) /-?C.t;O~NC ".-c/<<.c.. C-"?.P .Jz.s- (Give federaljot'te/other program title) ,c "-/-"'4'.6'3'~6-/ (Federal catalog no.) cJ-(! 7.3/.9 (State contract no.) B. Agreement Period: Beginning date ,"f-.:<J'. ,1.'3 Original ending date /(/ d /- ,.;>3 Extended to C.. ~ D. EXPENDITURES I. Program/contract payments received during 1983 $ A3.5; ~27- 2/ 2__ Less: Receipts for 1982 expenditures c:> Dept/Program J. Add: Amounts billed but not received at 12/31/83 + ...i7,f'$7.tP~ /1;- ;"'",/.:" ,l~./ 4. Add: Amounts expended in 1983 but not billed at 12/31/83 + o 5. Total revenue provided 1. External funding by external funding source's amount source $ /7.....", '7''/'-'/0:::>/ of expenditures' $ /7.3, ->"9''';-;..':/ 6. Add: Other external 2. Add: Expenditures revenues: from local SOurces: a. Progr.m income + C a. Program income + b. Donations, etc. . t' b. Donat.ions, etc. + t:' 8. Add: Ent ity moneys used in the program/ t:l contract + c. Entity moneys + -- 9. Total program/contract r~source5 $~:"'::"~": ;..;.1 3. Total program/con- tract expenditures $~::::.:::. '~::7/ 6-41 .. . PROGRAtI/CONTRACT ACCOUNTABILITY WORKSHEET E. BUDGET INFORMATION F. MISCELLANEOUS FINANCIAL INFORMATION I. Original award amount 1- Program cash/invest- or contract limit $ /79,d5'~. <Xl ments at 12/31/83 $ ,,{3~ ~ Z 7.2/ 2. Add: Additions + /} 2. Program payables at 12/31/83 $ ..i' ;:: J:'''7- ~Zl 3. Less: Deletions li 3. External advances at 12/31/83 $ .:7 4. Total award/ 4. Interfund loana contract amount $ /79- 3.f'"::J,,pp at 12/31/83 $ p 5. Less: expenditures 5. In-kind reported t1 prior to 1/1/83 0 to grantor $ 6. Award/contract amount 6. Moneys passed-through Il available for 1983 to sub recipients $ 7. 8. . Less: expenditures in 1983 Unexpended at 12/31/83 7. Expenditure code(s) for pass- through moneys: - /7 -I-7"7~.U $ ..:S: ,/'/5. 7~ 9. Has this unexpended amount expired?@N 10. List dollars, if any. of this unexpended amount that're encwpbered: II. Is this budget for external funding only or does it include entity money.!' budgeted for this pr.ogram? _____ _____ External only v Complete program bud8eV/7~ :y'C/.r'tI G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUD1TS OF THIS PROGRAM Summary of current "tatus (att.ach copies of corr~spondence with grantors supporting disposi~ion) Questioned amount 1- $ 2. $ 3. $ 4. .., . i .~ ,j; H. .1. Prepared by: &~.a-~ ~<7.e:::;.~ 2. Phone Nwnber: ,.f.P,,: 'iJS?J.s- REPORT DATA 6-4, .0:-' , I.; I I, f" , J ~', f r ,f ~~". t: ii'.'.,..".' ",,'- ':' " " 'J',..,:,:',:,: :,,', ,,' ",' "',:" '..,."," .'.'. , .' " :,,' ','. ',...",'".. ',,' .'" ,',:, ',': ," , - ,....' ",' :":.'..--" , "'.,. .' , , ,:. ,:', ':', ,:.,.."'."..,."'," ,", ,",..,', "", , ..' ," " <; :", ", ,>>, / ..(;"~r- / r--' / - 13 => '" VI "',. :::~ ....'" ~ g ,~ ~ '\'" . ~,: - '" I 1: '" I ~:1 " - ;:,'ij en VI ~ """........ Qj ", ",' C '--1 ~ ~ Q CI &.,l ;:;;;~~~ w ~ ....... C UU~~:;.) ~...... .":J :0.: "... ~ :0, > ',... " :., .. -= :'J ~ ..3~~~ ~ : "'VI " ~~ K " .. "/ 16 ....t:: \II 2:0 I " , kJ ::-: ~t.:J ~ """. =>x u," :: ~ u .. 2 ;- ~ :.... ::] c "" OJ C > .. !:: .. -5 'J] ~ " .. "'::I ~ s.. c;; :lJ ~ ~I~:I ....... " J.o.~ ~ el.; Ul I~ig i ~I.~ ~ C ::J CI , 0 c E :I .... .> ~ ~ ,,-" c .. ...."or ... " u ~ C C :t " QJ ..:: e > 'J) QJ '" ..... ..... u V. ~ '" " .. u c: " c "'." '" ~..: ~ ~::~ '" '" en OJ " OJ "'." '" ~~~ u u u .=.=.= .. " " :: ~ . ~ , ~ ..~ '" Z 0:>'" Z'" ....... x=> Uc> ~;;2 ....... z '" u ~~ "- ei&:: ~ < '" -z '\ ~f, ~ "''''' ~) "'< ~ ~ ~ '" < "'''' \.) ...'" => !;;i5 "',. ""... ~ "'''' => U '\ ~ I.. ' ~~~ f '" ~.( ~ ~~~~ ~ ~ ~e to. '" <H O:>t;'J~ ~n ~ ~j ~ 3t ~' ~~ ~ ~ t5~ ~ ...~ ~ ~ :i~ , ') :::~ It ~ ~t; "- ... N M ~ ~ ~ ~ m ~ ~ = ~ ~ ~ ~ ~ ~ ~ I I I I ..; 6-3~ " , ,:_ ,- Illl, _ ,'" _ _ >,' .-: , ,,:"',> ',', .'. ".., "'.. "'. ..'.' ,..,.., ',,',', " ..:. ,;' ,:',' '.., "." ',::' ' ", ", ',,:...,.-- '" ,',.. '." ,.'- ' '"..' '. ',',.....". "':' .. , " ". "':,',.. ." " . '.' ...', '...., .-' . ,,','.,".' ",:, ' : ::-- ',",'" '/i.", ,', ,.:', . ,,' " . ' : ''':'' ".': "''-;',' , " "',':: ","'. "..:", " '" ' , ,<>' .'., " '." ":::~ ,.. . ". ,.,. ,',' " "';,' " . PROGRAtJ/CONTRACT ACCOUNTABILITY WORKSHEET E. BUDGET INFORMATION F. MISCELLANEOUS FINANCIAL INFORMATION J. Original award amount 1. Program cash/invesc- ,_:5 ..r~'''c,l_ ..// or contract limit $ "<.3',, Co:', ::>,:.1::' ments at 12/31/83 $ 2. Add: Addieions + .-:> 2. Program payables aC 12/31/83 $ 7/.:'7..5" ;Y 3. Less: DeleCions (0 3. External advances aC 12/31/83 $ ::- 4. ToCal award/ 4. InCerfund loans / contract amount $ /4 C::?/!. t:~ aC 12/31/83 $ , 5. Less: expenditures 5. In-kind reporCed prior to 1/1/83 0 to grantor $ () 6. Award/contract amount 6. Moneys passed-Cbrough ava Hable for 1983 to sub recipients $ 0 7. 8. . Less: expenditures in 1983 - ....>--; <1"-'-'::>.-;// Unexpended aC 12/31/83 $ 7 /~.., Y. S:? 7. ExpendiCure code(s) for pass- Chrougb moneys: 9. Has this unexpended amounC expired? y@ 10. LisC dollars, if any, of Chis unexpended amount that're encumbered: 11. Is this budget for excernal funding only or does it include entity moneys budgeCed for Chis program? Excernal only CompleCe program budget >",.;:,.;:' .'"--:>, CtJ G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned amount Swnmary of currenC sCaCus (accach copies of corr~spondence ! wich grantors supporCing disposi~ion) J. 2. 3. 4. It. REPORT DATA 1. 2. Prepared by: Phone Nwnbe r: C~U..td. 4u.:?.eu..' IJ".f"o-dSZ?s- 6-4~ . E. BUDGET INFORMATION PROG~I/CONTRACT ACCOUNTABILITY WORKSHEET F. MISCELLANEOUS FINAlICIAL INFORMATION 1. ,,'\,., '. : .' '. r~'" '::::. . Original award amo4Bt!r or contract limit ,~~;: ~ 2. Add: Additions 3. Less: Deletions 4. Total award/ contract amount 5. Less: expenditures prior to 1/1/83 6. Award/contract amount available for 1983 7. Less: expenditures 1983 8. . Unexpended at 12/31/83 1. /,p'?, ""C.'7.e:CJ + ;'J..; ~ /@A" 2. 3. Program cash/invest- / 7~ 73..5": 7.3 ments at 12/31/83 $ Program payab1es ..3<", 9<5..;-:.,./ at 12/31/83 $ External advances at 12/31/83 $ c- Interfund loans at 12/31/83 $ 6 In-kind reported C! to grantor $ Moneys passed-through to subrecipients $ ~ ~ ",,;>..;,'.5. 7..:"?';&'Ii11 'to,. " 5. _ /.;1 7, 6L?~ 72..., in 7. - / 7t' /~:s. 7.:? $ /:3 3,..3 5'1.a- 4. 6, Expenditure code(s) for pass- through moneys: 9. Has this unexpended ~~ount expired? y~ 10. List dollars, if any, of this unexpended amount that're enc~~ered: 11. Is this budget for external funding only or does it include entity moneys-Pudgeted for this program? External only V Complete program budget Question~d amount G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Summary of current status (attach copies of corr~spoDdence with grantors supporting disposi~ion) 1. 2. 3. 4. II. REPORT DATA 1. 2. Prc(la red by: Phone Nwnbe r: c~-U- ~ .j t!/.5'- J Sp.s- 6-4~ mT~ ~ r--' G :j I '" ;- l.:) i,I) iJ :::::::--0 E=:~ , " ~ ~ g/ .. ,. ~ ~ en in , u .... .. ~ ~ ~ " . .... K: " " ..-.... if ;.: .: .., 1.1 L.J ""en ~ U.:..::: 'lJ ->:;j iJ~ ',::I -~ - ~ c >< 0 ~ ::i :':l :.:.: ~ ... u " :> 'u ...- :~ ~ '-' E~~ zo ~" u " w;-: VI -' e:;t.:.: ~ ::::: ,::., ox = Ut:.: )... ~ . '" >- I ." en '>< ... , :z ;! 00 - :;; en z_ 'U ........ :. ~ :co ;; u'" - , ...- -= :> Sf" , " .... ~ ... u :z __J 0 'n .., '-' ... ~ .., " ... I ~ :l ~I ~~ '" > " I -.. 'ZI~ ;11 ~ I - u u > ".... ~ I- I ... ... :;, ~ .... <Jiii u "' ~ < .... '" ~ 1J:~ " \, ~ig .", ~ z ~ ~ I ~ ~ I t:i 'n u \ i u :J CI '" I. I "I" .. a- o " ti :J ~ ,., ,:> 1" '" " ':I~ ~ < .... " ... wen :! or '~ ... '" :il .... .., =-> .... " . !;; z :; .. " OJ c: <J 1) W > '" .. -:;; a '" w :> .. "'''' '" .... ~ 0 '" -;;; u U u .. u ~ c: " c: ~ "'.., '" 'r ~ ... ~ .. .... .. " " ... .... ::l "1 '-' ,,~ '. '. , 0 ", " -; .. " "' .. '" \:l~ "'''' ... .. .. " ~ 0 ~'" " ."..,'" ~ ....'" ,.., ::I :: ::I \, ~~ ' " i ,~ .... -.... d u ~ g u " Ot; '/l - Z ') " w "l\( 0 < .~ \: " ':\ " 31:; \:', . i ~~ ~ \, i5~ ~'" >- '\ ~ It -;JU?: "." " I. J ~r( "') , \"",....J 6- J:l OJ \, .' .... ."- , " .-- ~ , ....; .0 ~ ..; .,; ~ ....; .... ~ ., '" ~ ~' .... -, .... .... ... .... .... . ., .. . PROGRAH/CONTRACT ACCOUNTABILITY WORKS/~ET A. Agreement Identification: Fund No./.3.GO fund Name -Ro,",o .F',w-veP Dept/Program No. Revenue Code Funding Source (s) Dept/Program Name W...s7..47~ c..P;r d'~ ;r;ti?'4MS. Give name of federal/state/other department of agency) z;,~'.#c~ Nt!JH Cv.-:.l~/LJur C'~,P ~A..y (Give federal/state/other program title) ,F.4-6-4'.c93-tU.(2) cPt:. 703/7 .(Federal catalog no.) (State contract no.) B. Agreement Period: Beginning date Original ending date #-~?-8.3 /..;1-..3/.83 Extended to C.. ~ D. EXPENDITURES 1. Program/contract payments received during 1983 $ 2/ // /.;/~ .3-/ 2. Less: Receipts for 1982 expenditures Dept/Program 3. Add: Amounts billed but not received at 12/31/83 + o 4. Add: Amounts expended in 1983 but not billed at 12/31/83 + ..:,'.......""'.;..35' ~r'" 5. Total revenue provided by external funding source 1. External funding source I. amount of expenditures' $ v2/.;~..;.-9.:s-~ 7~ $ ~ /~/_..;t?o;7~ 6. Add:~Other external 2. Add: Expenditures reve ues: from local 8ources: a. Program income + ,:P a. Program income + a b. Donations, etc. + ~ b. Donations, etc. + a 8. Add: Entity rooneys used in the program/ t> contract + c. Enti ty moneys + a -- 9. Total program/contract resources $ ,,;:)~5<"lS. 7:;' 3. Total program/con- tract expenditures $ _:;/~)'':; ..'~':- 7~ 6-4/ . . E. BUDGET INFORMATION PROGRAtJ/CONTRACT ACCOUNTABILITY WORKSHEET F. HISCELLANEOUS FINANCIAL INFORMATION J. Original award amount 1. or contract limit $ ~',Il." /t.,tJd 2. Add: Addit.ions + C" 2. 3. Less; Delet.ions C;, 3. 4. Tot.al award/ 4. cont.ract amoun t 'I $': J"'co, ~./,.:..&c' 5. Less; expenditures 5. prior t.o 1/1/83 0 6. Award/cont.ract. amount 6. ava ilable for 1983 7. Less: expenditures 1983 8. . Unexpended at. 12/31/83 in 7. - -" //) /.", ...;,_~;..I $ ~ 1";/27'.. ..,~{.. 9. Has t.his unexpended amount. expired?'.TN 10. List. dollars, if any. of t.his unexpended amount that're encumbered: Program cash/invest- .z. / /, '-/,:~..3 +" ments at 12/31/83 S Program payables 0-~"'r ~ j/ , at. 12/31/83 $ External advances C. at 12/31/83 $ Interfund loans at 12/31/83 $ C In-kind reported c/ to grantor $ HOlleys passed-t.brough to subrecipient.s $ c:.. Expenditure codeCs) for pass- t.hrough moneys; 11. Is this budget for external funding only or does it include entity moneys budgeted for t~is program? Ext.ernaI only ....... Complete program budget. .;.' /~, .; ';0':;'. /;.... Questioned amount G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Summary of current status (attach copies of corr~spoodence with grantors support.ing disposi~ion) J. 2. $ 3. $ 4. II. J. 2, /JA - Prep. r..d by: {..(t {,7(" ' :?zv.?/4:~w Phone Number: ,..:~8S-...:I,=.r REP<lRT lJATA 6-4; -0-!T~ ~'I IE 21 ~I E ~ ~ g/ ~. .2z ;: "J! :tl::n.= 0...1"" :u ~ ~I! ~ ~ ] ~ :-: -:; > ~ ~ .,j~J:~~ _:.:, - -:":'(.1) I , I. . I"', '.:'.'::'~' .1~: ' I: . J., '" l- ::i .. ,., ;: .. ., - - " :. .. '11-:: ~ " ~I~ 31 - ~ Uil ti/:: " ,,- ~ ;i.~ ~,' :J:"'C :J :n= "':'J I~ :::I '~I ~I-g =I~ " " " i:! :J.u .> ~ ~ :oJ...:J " ... .., 'r .... ':.I.... ... C " " " " > "II ~ " v. 2 .... " " ~ '":J c:J .. " 00- " _::=~ " ~ '" " -I '" ~ :I :I"':'J"':'J'":J ";l =' :: ;J " ~ .:: u ~ 'J u " ,,- " " ~ \\ ~ , w \ "l ~ "- " "'''' ;5'" ,..::> ... B ~I ~t.:.: 5::: u t:.: '\1 " " ~ ~ > ~ I!!! ,,5 z_ -... x::> u::> ,..- S?= ,....~ o '-' \ ., ') '" ~ \" "- ~ ~ \) I ~ , ~ ~ ., ~ ~ :< ~ "\ ~. "" ~~ ~ _ft , "' 'l ~~ ~ g ~I " '" "'I ' "'"' '\) '" '" < '" ., .....~ => t;;ti "'> "'''' "'''' ::> u ~ " , ~ ~ ~ ~ ~ ~ ~ ~ p,., I ,,) ~ ~ ~ '; ~,.. ~ ~ ~ ~) ~1 ~ t, t...' ;It:; ~. ;~ ~ ~ tJ~< \ ~,~..J.~ ~ I" :=;.( \;~ ,~~ ,:;; ~ ~ ,..; ..- ...:;. I I' I I I i I L." .., ..; ..: oi .,; 0 ..; 1-. -TIT ,.; ..; .; ...., .::. I _. ..J .- ..: .; .. . PROGRAJI/CONTRACT ACCOUNTABILITY WORKSHEET E. BUDGET INFORMATION F. MISCELLANEOUS FINANCIAL INFORMATION J. Original award amount J. Program casb/invest- or contract limit $ .2~"';;.;I/.s:~~ ments at 12/31/83 $ Z~:;/ 76":. O~ 2. Add: Additions + .<-' 2. Program payables at 12/31/83 $ c; 3. Less: Deletions t? 3. External advances at 12/31/83 $ c; 4. Total award/ 4. Interfund loans contract amount $ Z~r;27$:,.?d at 12/31/83 $ ~ 5. Less: expenditures 5. In-kind reported t? prior to 1/1/83 e- to grantor $ 6. Award/contract amount 6. Moneys passed-tbrough ?J available for 1983 to sub recipients $ 7. Less: expenditures in 1983 8. . Unexpended at 12/31/83 $ 7. Expenditure code(s) for pass- Z""'.27~.";(J through moneys: tJ 9. Has tbis unexpended amount expired? Cf) N 10. List dollars, if aoy, of this unexpended amount that're encumbered: --- --- II. Is tbis budget for external funding only or does it include entity moneys budgeted for tbis program? External only ~ Complete program budget --- Ques tioned amount I. $ 2. $ 3. 4. H. REPORT UATA G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Summary of current status (attacb copies of corr~spondence witb grantors supporting disposi~ion) . ,; '. .;. I. Prepared by: 2. Phone Numbe r : 6uc;;- &L-?~, ....:j~-d.c;-.....A~ 6-4, t.. . I . I J' " , (''''' \,. i;,' , . i., ti~' \/111 -.-- ~-RT-- ++- ;., I. I'" ~ ~-' i! ~w,~ t.... ~ ~ t Z1 ~<' g/ '-: ~~ - :J'! tn :n -= ..... ~-.jj ~ ~ .',1 g a::: : ~I.~ ~ ~ ] ., " :.. ",.I _ .~::.; .... ~ ..... ., :.- . u - ~ :" ... "": :'1 .,.1 ~ ':l ~ c:. L.o -- V) -...: :.. :.:.. Vl ;:: ~~i!. I~ ;: u ~ ; -~ :. ~ .. 'II "': ~ " "" .. ... ~ :.I ,~ ~I~ :/ ,,_ w ~.'" ~. e'.~ ~ .:J:~.:J ~ I :'i~ -g ~ ~(~ r:: R gig ~ ~ E ':J u ,,'~.E ~ I " ... '<: ~ ~ ~ ~ < OJ " \, \ " ~ ..... ~ T '" <:.l u .. C C ": ,:, CI -= <: =- 'n ~ <J V. ~ ... ... ~ = CI C ~ J CI .. " 00 " ...-'" - l'1 ., :;; ~ ... Co! :I :I :J"C"':l"C ";J ~ ': .:2 ~--- = U (J ',.1 U C ::: = ,,- " ~ ~ ~ '" '\ w " .1, ) ~ ~E l) >-~ ~ ~ :</ ).' :~ ~ 5;: u t.:.: " . ~ ;; > ~ I!!! ,,5 z .... - ... x::> u::> ,..- ~~ o '-' ~I ~ 2: 1\ : '\J ~ '\." " I 'I' ~ ?il;; '\ '" "' '" ., ,.,...t.=.: => ....z 7.:L:J "'> "'.... '" '" ::> u ~ "- ~ ~ eX?.... ~ 15 ~ ') cGg:':I~ ::lo \; f :: ~ 10.. ~ ::i ~ ~ " 1:;' ., >< ? ~ "' , ~.~ ~, ~l[~ ~ ~~,~ ~\ Wb.4..'~ "') ..-H..J;! ') ~ ~ r~t~ i~ ~~J I~a ~J ',I I' I I I i I m - -TIT I _. ..J _..- ..; ... ., 6-1i .. -'-- .-. .., ..; ..: .; 0: '" . N ... 03 ., '" ~ ~. .... .. - - I ~ f , :.:.,'.. '.' '. '...' ..' ..'.......<, . :,. .. ". :." ,,:,C:.; :". .. ',". . :'.':. " ""';'" .....'.. '.,:..' , ." .'. '.' :. ,'"., .: '. '. ,: .,"" .', ':: c"';:,:' .' , .':', ..:.-.... :.:: .;:' :.:. ..... '. .......::. ....' .', :':.:' ,".:; .' '" .,'. ',..':. ,.....,. ':.c; . . ...., .:. .. .;.. .'.. '. .. . ',,' , :~', ::,; >: . s . ," ,'0(' / PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET A, Agreement Identification: Fund No. /~?-'.."~-' Fund Name 0C~ /,?; ~::~-:'~s;r.e- Dept/Program No. Revenue Code Funding Source (s) Dept/Program Name .:(-.~-'. ...~..J";~. 7,--:- L)~,/,..J7: c,,&:" .6-~~~ ~~.::.G/ (Give name of feUeTaiistate/~department of agency) ~-r/-'~,""<S~A/.-Fc. Cyc.~//./.-:;;; Cc-....../7~-.A( (Give .f~der~l/state/~er program title) /!....~M ,---;... 9.3. /.// .;..~"~~~-:.. (Federal catalog no.) (State contract no.) II. Agreement Period: Beginning date Original ending date 7- ;.:' :.,.. ,r ~ /":<-....3/- .rz~. Extended to y__--1',:""'I', .~.:. Co' REVENUES D. EXPENDITURES I. Program/contract payments received during 1983 $ -/:.;;y.,;I/-~~~ 2. Less: Receipts for 1982 expenditures Dept/Program 3. Add: ~ounts billed but nol received at 12/31/83 + c/ 4. Add: Amounts expended in 1983 but not billed at 12/31/83 + /<7.:2..9''::; 5. Total revenue provided by external funding sourCe $ 1. External funding source's amount of expenditures' $ -'9 ,;; ';"/~ /."::-S- 1<r;.::Jw:" ..' -- '.";,";' 6. Add: Other external 2. Add: Expenditures reVenues: frolD local sourCes: a. Program income 1- ~ a. Program income + , b. Donations, etc. 1- '.' b. Donations, etc. + ,:) 8. Add: Entity Rloneys used in the progra.../ contract + ...:.~':':2.'? ~;'. c. Entity moneys + ~'~':;'::', ~-.::.t... 9. Total program/contract 3. resources $~~..:""''''''''/.// Total program/con- tract expenditure& $ ..f'3;~-, f';,<' 7 &- 'I. 6-41 :i ,,;,' ", :. i ,:'c,'. ,." ". "i' ....>'... '.. " i.',,' '" '".,:'.,:: . '"" ',,: ... .:, ,: " ' '" ',.' """ ' : ' . i,,' :,' .' I''': ' 'i."'. . .' '. ...:: ' "', :.. .... '. " :.':: ',' n, .;.'., '. ,.:. ."". ',. . c', ,:'''. . " '.' ',' ," ", , ..i '" ," ",,: ":' ,::c ,,' .' " .. E. BUDGET INFORMATION PROGRAJI/CON1'RACT ACCOUNTABILI1'Y WORKSHEET F. MISCELLANEOUS FINANCIAL INFORMATION I. Original award amount or contract limit $ .._~;~ / :/c,/-'l~ 2. Add: Additions + C; 2. 3. Less: Deletions - 0 3. 4. Total award/ 4. contract amount $ J'7, //'0, "''''' 5. Less: expenditures 5. prior to 1/1/83 c? 6. Award/contract amount 6. ava ilable for 1983 7. Less: expenditures in 7. 1983 .:-.;?...-:~~ -,'/ 8. Unexpended at "'.- ,:;:):,-:;'''::7 12/31/83 $ ~"'" 9. Has this unexpended amount expired? V@ 10. List dollars. if any, of this unexpended amount that Ire encwnbered: 1. Program cash/invest- ments at 12/31/83 L_ ~ "',( ,C" -,'"/" 9'3 '::""j' ',J;',,'/ Program payables at 12/31/83 External advances at 12/31/83 Interfund loans at 12/31/83 $ $ $ In-kind reported to grantor $ Moneys passed-througb to sub recipients $ Expenditure code(s) for pass- through moneys: II. Is tbis budget for external funding only or does it include entity moneys budgeted for this program? External only ~ Complete program budget ,r':' .) C' o G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF TlfIS PROGRAM Summary of Current status (attach copies of corr~spondence witb grantors supporting disposj~ion) ~stioned amount J. $ 2. $ 3. $ 4. $ REPORT DATA I. Prcpa r"d by: 2 . Phone Numbe r: 6-4, , " ,,:, .. "," " .,': ',' ,:'" " ,', ,,':' , ",./ ' :"':':'"" ", ,.", ":,' ',,' ';, :,::-'.'.:',...,., :,..',"" , " "', '.,,' , ' ' " : ",', ," .': , I I )' ,; " c,,; ~ OJ) .. U " - .: .'ii ;If CIl rn 0::: ~ ...,...... W c ", 0.' C ...... :: U ..., Q l:I .... Je'; c3 -;:; ::: I 100 lo. .... C ut,;)'1.IU:.;J :'3 .j C ~, "J-'~:':':"J 1:1 .... :"J :> . '"' "':2 "'O:J""-=n ~~.3~~~ 'I ~' f' '" \ '"' ~ ~ ,., " ,.. ::: ~ '" .u ~ :... = e.c ;; " > " = ... ..; 'Jl "':J ~ " "::J 0:: I., co,; :.l w ~I~ :/ '" ~ ~ ...~ " el.a ~ JJ:-c ~ :>1 = "C I ~" ~I'~ ~ a .:J c.I o " e: 11 u ,> " g ~ ~ ~ ~ t (' (, <- ,~ ;~- - ." ~ ... " u ... " ~.a~ ~ ~ o/J ~ " -.... 'J ~r:-: "t- " " " ;; "':J ~ ~ ~..: ~ \. ::::~ ~J .:.t nJ C'01 "" ~ ..-4 41 ~:.l " =' 't:J "'::l "C "" 13~~':: ..~ _ <.J U U ) U c ::: = '" " " " " ,., '- ~ " , ... ... , ':: ,I ,,',' :- ,',""" , ,,', ..',',. ", ",,: .".., "",. " ': ,.", ..' ::' ,.,:' ,': ','..' >," .,'", , ' " , ' ,.. " I'~'--=- · r-~'-- ~' G ::> o VI "'> ==~ 76 ~ ~:::: '; <E "'''' ~ ;5l;i \: > g .~ ....- ~ ~ ,,~ S ~i.., -'j U~7. I~~ ~ -... Qg f\J f-I- (\J ~ ~ ':J' 8~ i~~' ~a t,' ill ~. I I I I '" < "'''' ..-'" 0'> !;; ffi \ ~ ~ ~ B \, ~ ~ " ~ iil ~ ~"'~\J !i: "" ~ ~ ~ ~ " u ~ ~l ~ '" , ~ ~~~ " 90 ~~ ,J <S~ ~ -'~ ' Z1:=? e~ ~ ......V1 ~ .. 6-n ll.a. ~ ....; M ~ '-" ..Q ,..: Q) 0-. 0 ,.... .~! ' II"l ..0 ,..: cO , ',," ,; ,," ~~~,M:, :", :,'. ", '0 ,:', ,;,:".,:",', ,', ,,' .,.':"':':,,,' .":'':','' ',',' ,":. "'., ,,", , , ", "":'''. ,,','. :" . ,'" """',.',"',:': :",:" ",,',,":, , .' .,.,: / , ,.' '., " ", ') ',.. .,':',' ",: , , '.... ',' ," , " .':', ','.' ~ ,.',' "'" ,'~,/ 0',;.0 ':~, " I" ,. ,.,,:,'.',' (C I . . PIWGRA1J/cON'f1lACT ACCOUNTABILITY h'Ol<KSHEE'f E. BUDGET INFORMATION L I. Original award amount / J/ ,?,tJr9~ "'''' 1. or contract limit $ 2. Add: Additions + c? 2. 3. Less: Deletions CJ 3. 4, Total awa rd/ 4. contract amount $ /3/ ,::P~r9.,::Pt:? 5. Less: expenditures 5. prior to 1/l/8-t' S'.P.,r.?.;:t/ 6. Award/contract amount 6. available for 198 7 . Less: expenditures in 7 . 198,-1 7/59.5~ 8. Unexpended at 12/31/8.... /d', ~<9"', <9t:> MISCELLANEOUS FINANCIAL INFORMATION Program cash/invest- ments at 12/31/8 '$ /.:1 , <9,tJOdJ,t)_ Program payables at 12/31/8 External advances at 12/31/8 Inter.fund loans at 12/31/8 $ t? $~ $ t? In-kind reported to grantor $ CJ Honeys passed-through to suhrecipients $_ t:? Expenditure code(s) for pass- through moneys: 9. Has this unexpended amount expired? Y N 10. List dollars, if any. of this unexpended amount that're encumbered: II. Is this budget for external funding only or does it include entity moneys budgeted for this program? External only Complete program budget ,/ G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned amount Sllnunary of current status (attach copies of corr~spondence with grantors supporting disposi~ion) I. 2. 3. ~. $, H. R!:POHT JJAT,\ I. 2. Pr"p'lred hy: ~..@(c::..__,____ PlIO'''' Num",,!': ..t.tp.k..::d1'~ _"____ 6../., g " "'" u ~ G tit ClI t/) ... U .. '" " o ..c ~ =. CO Ell tn (l,Iu ~......3j ,.. C Co') (I) t:: ...... .... u r.I CU u Uw.::C..........-t Col~~~OLJu CJ 101'" ......_ --=-:Jt.:)':.I,u:.:J 1': :::J U l:: - c:....... :a t;;.: "J = CJ ~ ':'3 > :." ......~~U'r'4'C:"2 _ " :...I 0 s.. Co e--:...:n-J::..t:..:r. ... .~ '" ~ ~ ~ ~ >-... " ~ -~ .... oc ~ ~ -:Jut"'=' ~ '" ":1 :::... ~ G1(CJ E ~ ~:/ ~ ~'."j ~f ~ f:/~:;: .:.1:"'0 ~ !; !~Jg-g ;2 (,:;/'"' ';:J (3 t.I (J >': C " " t... 0 c: C E Cl.I .... ,> " o " .c " ... '" .... :> '" '" '" u m .... " V .... OJ ~ .. " " n: " CJ .::: n > '.II Go; CJ...., ~ ~ ~ ~ c " " "'" " .. " 00..... ::1 S "' ... ... _...... .., .., o o-f ~ CJ eI ='"'t:1 "':.] ~ ..0-:11 ;l :J :J .....u......-l--l .:::: t.: u '.J lJ c: _ t: 'n ~~ rl - ~ ~, Om ~ >. -"-' ...'" 10 en:;: '" < "" > " '" "'''' i5 ~ ~ >-:> It) ~~ ft\ w.. \) ~~ , 8 ~ 1\' "' OJ ::l " OJ > '" .. ~ ~ r@ S Ii ~~ \) ~::: ~ ::5<" ... ~ ~, u Ii ~ \\ ~ , ~ r:= ~' '" ... "'''' ...'" => ~ ~ '\\ ~ f.:J "'''' :> u ~ ~ " Il ~ ~ g ~ ~ ~ ~:,; ~ ~ '" ti ") ~ iJ" ~ ~q " , " f' " "" >. '" .. " " " ~ ~1 t--; " i; ;;j ~ ~ "-::f.~ U ~~'l ~ c~ " .1(...... ~ ~ ~'J~~ " 1.11. ~ _~.J n.;: 101 ; ") -.~ I. Vl ---..- -...--.- --, ., ,.; t'-:;--"" ____I _ . . .it. I'll n.. t',". I '" . . ---;-: ~ .... .. ,.., .1 v, .. -.;..,.. ,:.'1, .~:i' : ;.'. ,.,.;. ;::'""..; /".:, ' " ;':'-:(' ,..', ..,., ~ " '," ,., ,', ;.. ,".'" ',' ',' T",' ' : " ::'" : ", :, .'. " ,'., ' , i I ,', Ii:., k,' .". . r " " ~ -" u ~ c:; ~ ~ ~ ... " c o ..c .:J =- m f1l t.n ~ ~u. 4.l.......~ kCcncnc--. =.....4o..Ir:JGJ4.I . U ... ~ c:: L.o........ CJ::':: ~ ~ 0 .., 4.1 CJ L.o ~ ...-t C ''::_:'''OIU.u::.;J , :c :::s u c ~ Co. ....... :a t:.: "J == c:J .u ~:> .:..l 1...-1 ~ ::I u...."C :"2 '.::: .:I .:..t 0 k C. ... E-:':":n...J~t:.:r. [ .; .,~ ~ I\) g ,.. Il..>' u , .. o ~~ ... ~" ,;t:' f 'f '.~ " :t;; .. '" " " OC '" ~ ~ ~ .. ';;cn~ ~ '" ":] t:: L.o ; '~-~I >- ..... lU Ul !:: ~ 'j GJ ~ ~..~ ~I ~ ~1.~ t: ~:"O ~ ~ ~l g -g ~ 1::::1' UI tJ ~ CJ (J X C " " tI... 0 C . C E! III 1.1 ,> " ~ 0 l!.I .0 ,.., "'" ::> o .... -U U' c...l ..... OJ..., '" .. " U c:: c-e c.l tI) CI":: a :> ~ ClO " .... .... u ~ S j " " " """ '" '" .. 00.... ~ .......... -rl~~ o .... eJ ~ e.I . :J-c~'O ..o"':J =' :;)::J ......u~-f_ .= (J U U o c c: C on _ __ M ,)j, ~~ ~; .r' ~, ~". ., I r: " ~ Z ,., '" I( .. ~ r: t._1 ') --~- .. '" ,:, ,: , ;,' ,'::, ..' / ",.,. '> .' :,... :', :< ," " <'.:, ",' . ,,',':'" :'::" I , " , > " <.< G '" 0'" '" ,.. ::::: L:; .... 2: 10 CI1::;: '" < "" II. .' "'''' i5~ 1;) ,...'" ~ .... ....... ~, zo ~:>: "'''' "'0.. '" X 1'1) ut:;: '" 2: . <00 z... ';'\ HE-< :C'" "'0=> ....- :5"' ...... 2: 0 <J !, 'l- I \;\ ~ I I.) g I "" !:::.? ") "' r < "'''' ...'" => \ !;ji;j "'> "'''' "'''' '" U ~ ~ ci J 1il v ~'" ~ ~e~Q ~ ~ ~ ~ uti n z., ~ ~~<:l gf-4 ~ ..IlJ ? ;:':;;. " tS!,..T1 ~ ~ ~ ~~ ~ \. l-Qit iJ -_~ 1_,_- __ _ -- - - J. ..., ,~ .,' ,~ ~ ~ ~ ~ ~ ~, N __=----. -, ..i .. ...4 / ~T '" ri POt .., ..... ... ~. M .. .. :0': '." ,\" ,,' <, . ,,', ' "'0'",; "','.. " .. :', ,": ::.".. ! :"'" ." ." """ " ',' , ': ' " , """ .. ,',',:', ... ,:...:: '" '.. ': '. ,.., . '. ..,' .',..!, . :,':;: ",'.,:<: .<.: 'i: .." ,: " , '''',' , :' ," ", ,', :' ,:'. ,', "", ", , '. "", ,',' ;':,' , :, '" ,":': ",,'" :'" , .'"" " ,'," ,,:',': ,,: ,:'" :', , "',"':, ,':, " , '.,,": ',. . . PROGRAl'J/cONTRACT ACCOUNTABILITY WORKS,HEE'f E. BUDGET INFORMATION F. MISCELLANEOUS FINANCIAL INFORMATION I. Original award amount 1. or contract limit $.?.&'q27~,:PO Program cash/invest- ments at 12/31/84' $ .z/~ .s-f'.s; 7~ 2, Add: Additions + ,-::J 2. Program payables at 12/31/8 $ t:f 3. Less: Deletions cJ 3. External advances at 12/31/8 $ tJ 4. Total awa rd/ 4. Interfund loans contract amount .z8&'l2.7~,tJCl at 12/31/8 $ d 5. Less: expenditures 5. In-kind reported prior to 1/1/8 !3 t:1 to grantor $ ?J 6. Award/contract amount 6. Honeys passed-through available for 198 to sub recipients $ 7. 8. Less: expenditures 198, Unexpended at 12/31/8 in , 7. _ .z/';'/5~5. 7.2 tf,::r...d-.F~.2..? Expenditure code(s) for pass- through moneys: 9. Has this unexpended amount expired? @N 10. List dollars, if any, of this unexpended amount that'te encumbered: 11. Is this budget for external funding only or does it include entity moneys budgeted for this program? External only ~ Complete progrdm budget G. DISPOSITION OF ITEHS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM ~stioned amount Sunvnary of current status (attach copies of corr~spoDdence with grantors supporting disposi~ion) I. $ 2. $ 3. $ 4. S H. REPORT (JAT,\ I. Prepa red by: 2l1.~zu. $~~- 2. Phone Numbe r: otlZl'- ~9,$--..s S7:?.r.:.,_ 6-/fL " " ::> .>: u ~ <:: en Cj ~ ~ ... ... .. .. c o .r:. ;:J =. '" 01 Vl U.I.Lot U_ iI ~~~~~~~ CI ~ ~ \"3 c.:J u u a Iol.... ""_ ":;_;.Jtj~4..I~ 1: :::J .u ~ :r.a~~~'=:3 .....~~u.....-cn '::~:...lOIolc..... E-:.:.:n....J;::..t.<.~ ... '" ... " ~ ~,., \\) >- E -~ ... >- ::: ;; .... u < .... % ;2 U ,,", C '" ,.., ::> '" '" :r: " '" "" c - !:! -5B] "':)::: l.o c:;.: c:.I c:! ~,~ :/ CJ "" u '!'liH!' a c:J >: c ::> " o " E .. ~ ,> ::> o " .D C .. <II .. :l " aJ > " ... :> '" <-< - :.; ~ 0'" "'>- _c.:.o ...% I 0 \ Ul;:': '" < P< "'''' " <5;; "<t >-::> ~ .... ....... '} ZC> w:>: ~ "'''' "'''' ::>X CJ t:.: en z toO %... ... .... \ :r:::> u"" ~~ ;Z~ 0 <..> III l\) "l I\, "4- ~ ~ '''I "" '" < '" '" ...", => \ ~ffi .., :> cr: t.:J '" '" ::> u ~-g~ .. " C " " CJ":::: E: :> 'n Q,; '" .... -. ... cr. C"J..... u ... ... c " " .. '0 '" ... '" 00..... ~ :'J '" ~ ~ g , g;::: ~ ,. E' " ~:2 ~ '-' t; k ~ ~ ~ ~ ~~----- \ t~[~ ~ ~ H~ ~ ~ l1~~i ~ "- ~ (":<1:'\. \) . HI;" Ii- ~ " ;~ ~~~~ ~ ~ . I n'~ '\J ~ '"'' ~ \!) ') -'-~:~ - -;- -- -...-;- --.; -;---;- __4__ __ ...f 1".~lI'r"" ..1 ,', "', .... .... _........ " " o -i CJ ~ -:J :l;:1 "':1 't1 ~""=' =,:l:J riU~-i_ .:=. L: U 'J .~ ~S ..~ .:; " r " Yo " " I' " -- ___ ___1._ --;- ,..: ,".f) .,.: {.) ,.....,,....; .. , .,; ..; ~ " . PROGRAJI/COliTRACT AcCOUN'fABlLITY WORKSHEET E. BUDGET INFORMATION 2. Add: Additions '~ (/J F. MISCELLANEOUS FINANCIAL INFORMATION 1. Program cash/invest- ments at 12/31/Bf" $ .!f,7H,t:!J" 2. Program payables at 12/31/B'" $ .3. ?$~+- 3. External advances at 12/31/8 $ ~ 4. Interfund loans at 12/31/8 $. 0 1. Original award amount or contract limit $ /~,ZtJtJ,a; 3. Less: Deletions t:' 4. Total award/ contract amount $ /.:::, zt:'t:', t:'LJ 5. Less: expenditures prior to I/I/B~ t:J ~. In-kind reported to grantor a 6. Award/contract amount available for 19~ 6. Moneys passed-through to sub recipients $ 7. Less: expenditures in 198,f- 8. . Unexpended at 12/31/8f" $ J', 7Jy, ~,? .0 ..../LJ. n... 7. Expenditure code(s) for pass- througb moneys: 9. Has this unexpended amount expired? @N 10. List dollars, if any, of this unexpended amount that're encumbered: II. Is this budget for external funding only or does it include entity moneys budgeted for this program? External only Complete program budget v' G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned amount Sununary of current status (attach copies of corr~spondence with grantors supporting disposi~ion) J. 2. $ 3. 4. S H. Rf.POIlT UATA I. Prepared by: ~~4f:r-~ 2. Phone Number, ,.Jf.Y.,j..57J5'" .. 6-'.~ (J c " -" u ~ <:: (l1' ai ~ " u .. " c o ..r::: :J :::. CQ CIt(/] ~ u ............ a ~~~~~~~ c:.I~r.;~e,,:,u~ CJ ...... -..1_ .:: -:oJ 0 ".J .u:.:J r. ~ .u C _ c:........ :u t.:.: -.J :r. a.;..l ':':J > :.." ~"Z~gr:1:3 l-~:n...J;:"c.z..:r. " '!3- ~ ~ ~~~ o -~ ... "" c - ~ ';Ul"::J U (J "'=' ~ ... G.: CJ' '" E ~ ~:I ;:: ~."" u ~ ~!! :,' !;; I ~Jg -g :i ~I' In <1 t3 u CJ Y- " " " tz... 0 C C E Cl.I U .> ~ ~ O~.D .... ".. ::> '" '" '" " '" _ '0 " ... '" u .. " " " " C.I .::: 0 > ~ c&O (I-4~ V. ~ ..... ... .. ... c " " " "0 " .. " 00..... ~ B VI In '" " c '" > " " > " "" G ~ CUl ~>- _t:.f ....z I '" en;;: Ul <: ... "'Ul ~ <5;1 ~ :>0:> ~ ... ........ zc '" .. I.) "'''' '" 0- :>X "l ut:: Ul \\) z "J '" '" z.... ~ .... .... "':> U<<J .... .... ~ ~"' ....... ~'\ z c '\, u ~! I\) 'Il z ~ .... i I I)., N' '" . 0- " '" <: w Ul ...w => !,;;Ei '\\ w:> "'''' '" PO :> U ~~~ O~\l lil \I "'.....,~ g '" i! < :;; ~ ~ ~ <i! l ~ '-' ~ ~ ~ t: ~ ~ <: III __ _ -- - ...:.- '-' i ~1l-; " ;~;;. oJ : ~ ~ ~rP ~ .~~ i 0) ~ :-"'~] \. ,'j ~ ~ I ~!<' ~ ~ }~~~~ -!-,.. ..- ..- ,-- -- ..- __~ ~4 W...... 'T ,., ..r. r,o" ... ... _...... " " o .... ~ U eJ =' "tl ""=' '0 \0 ~ ;) :l ;l o-iCl~-4_ ,:; c u u u c :; t: o,n...-.., ...... I ..- -" --J~ hi ~ cMr. --- ~ .-; ,,; , .' ..; / ...: /'" .. . PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET A. Agreement Identification: Fund No. ~ Fund Name l.SoG./o ~4.s r~ Dept/Program No. Revenue Code Funding Source (s) Dept/Program Name wA6,/WA/"'T?>A/05T4""~, ..oq;;o.r.c:>.= ~=?",~Y (Give name of federal/state/other department of agency) Jep-",,,,p.s<:>,u C:"'iVN7)/ ~ec:Yc:,,-/-vG C.sr.-</r~ (Give federal/state/other program title) (Federal catalog no.) -.3"7'-3/""" tP2.tP/ (State contract no.) ll. Agreement Period: Beginning date t:77.22-82. Original ending date /2-.$/-6'2. Extended to C? 9-....ht:>.. 6' ;$ Co' ~ D. EXPENDITURES 1. Program/contract payments received during 198" $ ;!.~/oo",s9 2. Less: Receipts for 1983 expenditures ~Z/ o/t'. of"/ Dept/Program J. Add: Amounts billed but not received at 12/31/8 ... t? 4. Add: Amounts expended in 198 but not billed at 12/31/8 + t? 5. Total revenue provided by external funding source I. External funding source's amount of expenditures' $ ~'l/ZtP"'()(j $ 87/20.00 ~~-= 6. Add: Other external 2. Add: Expendi tures revenues: from local sources: a. Program income ... a. Program income ... " b. Donations, etc. ... b. Donations, etc. ... ~ 8. Add: Entity moneys used in the program/ contract ... c. Entity moneys ... -- -'-- 9. Total program/contract 3. rr51)Ur("'~s $~~..~Z~'._~~:.=;" Total program/con- tr..lct eXJlenditur..s $.~~~O b..ld .. 8 :/' PHOGRAN/CONTRACT ACCOUNTABILITY WORKSHEE.I E, BUDGET INFORl'IATION F, MISCELLANEOUS FINANCIAL INFORMATION 1. Original award amount or contract limit $ 87" /.Et:'. e?0 1. Program cash/invest.- ments at 12/31/8 $ 87J20~ 2. Add: Additions + 4. Total award/ contract amount $ <9"'/020":;0 2. Program payables at 12/31/8 $ 3, External advances at 12/31/8 $=~= 4. Interfund loans at 12/31/8 $ 5. In-kiod reported to grantor $ 6. Moneys passed-through to sub recipients $ 3. Less: Deletions 5. Less: expenditures prior to 1/1/8 - 4>2, orf'. -'/ 6. Award/contract amount available for 198 7. Less: expenditures 198, Unexpended at 12/31/8 in - 2..:,;"00,59 <::> $ 8:",';1868 7 . Expenditure code(s) for pass- through moneys: 8. 9. Has this unexpended amount expired? Y N 10. List dollars, if any. of this unexpended amount that1re encumbered: II. Is this budget for external funding only or does it include entity moneys budgeted for this program? Externa I only Complete program budget y/ G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questio~ed amount Summary of current status (attach copies of corr~spondence with grantors supporting disposi~ion) I. $--.-- 2. 3. 4. $, H. REPORLlJATA I. Prcpar~d by: .C'~_~.,.~~ 2. Phone Humber: ...il'.s-'J,~_,,_ ____ 6-1., fEAR / ! . . / f' c.- ,;; /1';./C:'/ (.~ !,.,....~ FUND OR DEPARTMENT I ! CONTRACT RECEIVABLE REPORT TO COUNTY 'AUDITOR DESCRIPTION CONTRACT REQUEST RECEIVED BALANCE BEGINNING OUTSTANDING Current Year Contract /c: oY-f<,') / January Request Receipts (November 84) February Requests Receipts (December 84) March Requests Receipts (January 85) Receipts (February 85) April Request Receipts (March 85) May Request June Request Receipts (April 85) Reciepts (May 85) Additional Contract July Request Receipts (June 85) August Request September Request Receipts (July 85) October Request Receipts (August 85) Request Receipts (September 85) Dc-cember Request Recrlpts (October 85) ENDING OUTSTA~~ING 8AI.AN E j -- --- . . PIWGRMI/CONTRAcT ACcOUN'fAlJILI'J'Y WORK~HEE'f E. BUDGET INFORMATION F. MISCELLANEOUS FINANCIAL INFORMATION l. Original award amount or contract limit $ /20, c>?c>.,::;o 1. Program cash/invest- ments at 12/31/8 $ .?~..z/, <3 2. Add: Additions + 2. Program payables at 12/31/8 ,(3......y; e:>/ - / / 7, /?c>.oo 3. External advances at 12/31/8 $ e? 4. Interfund loans $ ..<:. l' ,p,::;,,::;C' at 12/31/8 a 5. In-kind reported t? to grantor $ t? 3. Less: Deletions 4. Total award/ contract amount 5. Less: expenditures prior to 1/1/8 6. Award/contract amount available for 198 6. Moneys passed-through to subrecipients t? 7. Less: expenditures in 198, - 24z/./3 8. Uncxpended at 12/31/8 $ 47.!1,87 7. Expenditure code(s) for pass- through moneys: 9. lias this unexpended amount expired? Y N 10. List dollars, if any, of this unexpended amount thatlce encumbered: 11. Is this budget for external funding only or does it include entity moneys budgeted for this program? External only ~ Complete program budget G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned amollnt Summary of current st~tus (attach copies of corr~spondence with grantors supporting disposi~ion) 1. $ 2. 3. $ ----~--------------- 4. .- ---------, ---_.~-_.__. -,------.---.-- .--.-.------ If. REI'OllIY.bI!.' 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",en ;;i ~' "':0 ,.. ~ ~I ,,~ "'''' "'... :0>< ut.:.: en z t.:l0 "'..... ..... ... :r :0 '-' '" ,.. ..... :5"' ....... z o u ~ U) ~ 86.':' ZH" H!;( ~: ~ g '. 'I~ g",l~ ,:1- 1:: ~} '; '. "" "'" wen ....'" !;; ~ '': '" > ",,,, "" '" OJ '-' I. , ~ t.:l ~~ ' o ,,' ~f3', ;;l< c.5 >,' (. ~I" \ '-"J " t.:l <: f- f--- ',. ,", ~ " 3t; ;';;;i .-::f""",".o: l-.J:'--".l ~~V I~J I .. (1< " Id t' "-"- _c, -, --c --c ", ,," -, ~.; "_"'; co, ,;"",":', ",. ',', :" ',:, ' , ",',', :' ;", , .;,',:, ' :',," ',:, '. '., : .':, :: ::, :..,.... .... ," , ".,' , , ,.': \,': .', '.", ...., ,'','-,', :' , ".' "." "', ,: , ' ',:',,":' , ' ,... .:' .. ... ,'. .', . ':, , " ' '.. , " , ':., :':.' ," .';':" .... .: ' .' .:,.' : ',', ': .. .' . .. PHOGIWl/CONTRACT ACCOUNTABILITY WOftKSllEET E, BUDGET INFORMATION F. MISCELLANEOUS FINANCIAL INFORMATION 1. Original award amount I. Program cash/invest- or contract limit $ 24 6:?->< 5tf ments at 12/31/8 J' $ 4.?,,~Od.07 2, Add: Additions + t? 2. Program payables at 12/31/8'" $ /C'..s-o,. t:JO 3. Less: Deletions C? 3. External advances at 12/31/84- 0 4, Total award/ 4. Inte r fund loans contract amount $ z.~S"4'. SC! at 12/31/84- $ t? S. Less: expenditures 5. In-kind reported prior to 1/1/84- t? to grantor $ t? 6. Award/contract amount 6. Moneys passed-through available for 1984- to sub recipients $ 7. Less: expenditures in I 98,.:t. - .7-1,000.03 8. Unexpended at 12/31/84'- $ 7 /6'Sf1~ 7. Expenditure code(s) for pass- through moneys: 9. Has this unexpended amount expired? Y N 10. Li.st dollars, if any, of this unexpended amount thallre encumbered: 11. Is this budget for external funding only or does it include cnli ty moneys budgeted for this program? External only Complete program budget ~ G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned amOtlflt Summary of current status (attach copi.es of corr;~spondence with grantors supporting dispo5i~ion) 1. 2. 3. 4, II. REPORT "u..!'T,\ I . !''''po r~d by: -1Jy.i4t 4jLi:'~~...,(dcU.I~ 2. Phone Numb..r: JiZ..:i:=~_.. 6_1., lL!~~ ~:I~I -, I '" ... "I _ '; 81 :J'1l tf't =: ... ~ '" .2z ;: ~~ :'1:tl= -" ~~~~i~ ~:::I~:";:~ - u:.; .".J ... ~ , .... c ~ ~~I~~~ ~~.3:':::,~ ~ :: ... " ... >- .; ~ ., - - . :. .. ~~ ~I~ 11 ~I-: :1 ,,- ~ I;i,,~ ~I' :;'"'C' :I ~l:; "5 I~I'"I-;:: gig ~ c; ".J.... .> ::J .... :J..:.J c: ... .., 'r .... ".J'" " " " (,I _ a .> 'n .. " u ~ ~ .... ~ C,I c: := -::I tJ .. " co..... I:J - " -';; ., ~ " -4 e; ':.I ':.l :J..,-,""::J '::I ::l ::: ;J ., - = U l.. 'J U C " - ~ ;~ - ~ I( :.- " ~ "'''' <:t.:.: ~;;:: ,..::> ... B ~I :;7 3~ U~ " " ~ E ~ "I 0:0 ~ " I -: It) ~ ~ " I ~ ~ 'I ';I' "l I '" < W to" "..t.:.: 0' I f-o ~--: '7;W "':> ""'" "'''' ::> u I I I i I -~ ~ ~ " u K ~ 0") , ~g:~~ ~C1~~ :~ :~ ~ .Yo ~, l.J ~, ~ ~ ~ !:-. L'.; I/) ~ :-~11 ~ " ~~ U i~;~ ~ ~~lj ~ ..J r~ ~ 6- 'i ~ ~--;' -~~'. ~. ~I ~ .~ ~ ~ 00 ~ r--- -r1T o _ I ,.J I ,_.1 "-I e: i. :.~::: ~ .01, / 8 .. PROGRAM/CONTRACT ACCOUNTABILITY WORKSllliET A. Agreement Identification: Fund No. ~ Fund Name :;?C'A..P ~A/,"" Dept/Program No. Dept/Program Name Revenue Code Funding Source Cs) ,{d4,S7A?.r Z>~r.- .::>_ T;f"4#5.R'::>-1"7:4""/~ (Give name of federal/state/other department of agency) 4'<Y,wEr..s ""/C/~ ~".?'.:r;e- ,f"~?4c.e-,#e:;;Vr (Give federal/state/other program title) C;;c -<:,//p ~. (State contract no.) 84'C'.5-2.<>/6.~) (Federal catalog no.) Il. Agreement Period: or-.? 0-6'0 Beginning date Original ending date /2.-!!?/-J'-:z.- Extended t&1~-~&>-~~ Co' ~ D. EXPENDITURES I. Program/contract payments received during 198""" $ ~~ C'i''1:..<>'' 2. Less: Receipts for 198 expendi tures / :;; 5Z,S; 22- 3. Add: Amounts billed but not received at 12/31/8 Dept/Program + t? 4. Add: Amounts expended in 198 but not billed at 12/31/8 +,._,.~.7'ZT.~5' 5. Total revenue provided by external funding source S I. External funding source's amount ~8; tP9'9'~ of expenditures' $ #~ c;9'-p.c)~ 6. Add: Other external 2. Add: Expend i lures revenues: from local 210U rces: a. Program income + 0 a. Program income + ej b. Donations, etc. + -::J b. Donations I etc. + J 8. Add: Entity moneys used in the p rogum/ contraCL + t) c. Entity moneys + ,:j 9. Total program/contract J. r"sourrPH $~ t!?,,,,,?, ~~ Tota I program/con- tract eXI,enditures $,.:!!.~,!:!,.!"'~ (',I } ''6'\ ., . PROCRAIl/cON'fRAcT ACCOUNTAB r LITY WORKSHEET E. BUDGET INFORMATION F. MISCELLANEOUS FINANCIAL INFORMATION I. Original award amount or contract limit $ /#~ ~",c;. "'&1 1. Pr.ogram cash/invest- ments at 12/31/8 $ .? 2.Z, .F',34. 7;! 2. Add: Additions + .s:: c;>2 ~ ,S.2' 2. Program payables at 12/31/8 $ d 3. Less: Deletions tJ- 3. External advances at 12/31/8 $--<L 4. Total award/ 4. Interfund loans contract amount $ -fZ /.3,/Z-t),C)tJ at 12/31/8 $ d 5. Less: expenditures 5. In-kind reported prior to 1/1/84- - / 7~, 7.:3,5'; 73 to grantor $ d 6. Award/contract amount 6. Moneys passed-through ava ilable for 198 to subrecipients $ 7. 8. - Less: expenditures in 198,4: Unexpended at 12/31/8 7. Expenditure code(s) for pass- through moneys: - 4' ~ t??'9'.. M $ -s: j7~<1 zJ.527 9. Has this unexpended amount expired? y~ 10. List dollars, if any. of this unexpended amount thatlce encumbered: 11. Is this budget for external funding only or does it include entity moneys budgeted for this program? External only Complete program budget ~ G. DISPOSITION OF ITEIlS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned amount Sunvnary of current status (attach copies of corr~spondence with grantors supporting disposi~ion) I. 2. 3. 4. H. !!!;.PORT _UATA I. Prcp"red by: j'Jt.~A...(..h5U<?~~_ 2. Phone Humh" r: ~.-:::L/'.f -J'S"';: 6-'.1 " " " -" u ~ en ~ ~ .. "" o ..c ~ _ CO CI1 Ul ~... &.J_ ~ J,. l:: rn en C '----t :: &.J.u 17 C1l.... u.. c::"'-..... 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'" "'''' '" '" " .. .. >e.e '... .. ....... ...'" QJ'I"4.a.J ....'" "" .. .. ... ...., :JC'" .. .. ",.. .. .. C :l o C s.." > 0...0 C .. ......, ."" Q.I.a.J .. C ... ...= > .. .. ..... - " '" ...' "'..." C .. ...., .. .. "".... ....- ........ " .. ... .. u ..,"'''' ~.3_ ... u u C c c i=:i H > .. H " .....0 U a ,,< " a ... ...... " :0.;'3'" ...iil co ......, " .... .... ~~~ "" '"' ~~ '" " !:J>< u" "'... .... .. o ... .; .. " ... ... .. o "" " .. co o::l .... .. ::J . "'..'" " "''' "" .. .~ lJ~ ".... ...,," 4J '.-l +J ..".. "... "" .. .. "'" " ,.,,'" .. ::J .. ..... .....u "" " " " " o " a ".... > ::J 0".0 " .. ..."'.. "1"lI GJ..... .. " " .. " ".s:: a > .. " " ..... ......... "" ",..... "...... " " " .. '" " .. " ..... " .... ............ ", .... ..... " .. .. '" u u u "'""'" " " " ............. ... u u ~~~ '" '" ,', :::> 0'" , fil>< ....~ , 0 "''''' '" ~ .... " " a ~'" " ..... ~~ .... .... .... tH " ~ffi " ... u~ .. .... ~ t:lH ~!3 "'''' UH '....~ ~o U !il", 0,", UO ZH H.... .; ~i '" " ~~ , " " " - > " .. " ~'" .. tJ ~lia U ~ ..., 0 "'''' ~i "'>< .. u '" '"' '" "" ...... "'t:; ~;:j ....I~ '" <5"""" ~8~ ;:j~"" "" .( fJ!;; ~ ,. :... //11.1 ....:10 2 I ~ .., IX :I: " '" uco " U)~ >.lj 11 ~ r-4 U ~ U) u~ ~ tI;li'UU rlSu:I oa...uu..,........ ...,JCOcdu,W VI = H J.f d l:I .....o.u.....OCIJ I-fUddua 0........ 00........ CIJ c..cnuu t'J...... lU~"""'''''''''+JoIJ J.f c::I Co/) U) d..... co...,.....cu""' u,..Qa....c QJe,:, co ca:t:)~ " .... ..d~t:J~lU......~ f4 co .... co ... u..... ~.... CI) 4J ... cu > ~, ...."'CIl"lI u....~ ..cIiU.....OIolGJ E-t~cn~&Ll~U2 I 0\ .... ei <.,~ .. . u ",-", - PROGRAtI/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) E. BUDGET INFORMATION 1. Original award amount or contract limit $ 2. Add: Additions + 3. Less: Deletions F. MISCELLANEOUS FINANCIAL INFORMATION 1. Program casb/invest- ments at year-end $ 2. Program payables 3, ~it~~Iieggvances $ at year-end $ 4. Interfund loans at year-end $ 5. In-kind reported to grantor $ 6~ Moneys passed-through to sub recipients $ 7. Expenditure code(s) for pass- tbrough moneys: 4. Total award/ contract amount $ 5. Less: expenditures from prior year 6. Award/contract amount available for current year 7. Less: expenditures in current year 8. Unexpended at year-end $ 9. Has tbis unexpended amount exp,ired? Yes No (Circle answer) 10. List dOllars, if any, of tbis unexpended amount that are encumbered: 11. Is this budget for external funding only or does it include entity moneys budgeted for this program? External only Complete program budget --- --- --- .: --- G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned amount 1. $ 2. $ 3. $ 4. $ Summary of current status (attach copies of c~respondence with grantors supporting dispositi~n) II, REPORT DATA I. Prepared by: 2. Phone Number: /; CAT'i eIT 4-55 ~"",,:, "... 'c,6ti I, l~ DATE 1/1/85 l/l l/3l Feb March April May June July August Sept October November December 13/31/85 : . " ,...,' '::,:",> :...,' '.. ' " : ',',," ' ,:'" ", " , " .'~', " . .' ':, . ,',..'.,,',.", ' .' ,'. ,.' .i.>"',' ,... '" < ".' ',.,,:., ..:,.> ":'. .,',.,.,'> ',',' ",..' .... < :.,'..,. " ..' "., ,:', :..: .. ': ". ,,:'.<', ':' ,':' '. :,', ,. .'" ',:: '.'" '."" ...',:.:"" ' " .:.',.. ". .' '. ':.,.,' . i;'. " '.,,'...., '.,: " ,,:.,.. ..: ':-:, , YF.AR FUND OR DEPARTMENT CONTRACT RECEIVABLE REPORT TO COUNTY AUDITOR ,/ DESCRIPTION CONTRACT REQUEST RECEIVED BALANCE BEGINNING OUTSTANDING Current Year Contract January Request Receipts (November 84) February Requests Receipts ,(December 84) March Requests Receipts (January 85) Receipts (February 85) April Request Receipts (March 85) May Request June Request Receipts (April 85) Reciepts (May 85) ;: Additional Contract July Request Receipts (June 85) August Request September Request Receipts (July 85) October Request Receipts (August 85) Request Receipts (September 85) December Request Receipts (October 85) . ,ENDING OUTSTANDING BALAN( E ::' ""::.',,-" "': > ", ,:',,'" ,':: ..:," :':,: '.' .. "'." : .:,':".' . '. :.".'::,:,' ,'", ,." ",.".,:., : ,.', ":". " '., :..,,, ,':" .' .' ,: ",:: , '",', ,,:' ',' :, ", ",',' ,,.. : ", " ,', ':' ,',:', ,,':'" :',' " : ..':':' ''':''',' " .,,',,"':", ..... , ":', ': " ..... ,,"0 " , ',' . E. 1. BUDGET INFORMATION PROGRArI/CONTRACT ACCOUNTABILITY WORKSJiliET (page 2 of 2) 8 Unexpended at year-end $ ,!;(O.,-o. sl ,.,,-.., Has tbis unexpended amount expired? Yes ~ (Circle answer) List dollars, if any, of this unexpended amount that are encumbered: Is this budget for external funding only or does it include entity moneys budgeted for this program? External only ~ Complete program budget Original award amount or contract limit $ 2. Add: Additions + 3. Less: Deletions 4. Total award/ contract amount 5. Less: expenditures from prior year 6. Award/contract amount available for current year 7. Less: expenditures in current year 8. 9. 10. 11. //,,J,OO f $ / I J, 0;:' , F. MISCELLANEOUS FINANCIAL INFORMATION 1. Program cash/invest- ments at year-end $ 2. Program payables 3. f~tX~aileRgvances $ at year-end $ 4. Interfund loans at year-end $ 5. In-kind reported to grant.or $ 6. Moneys passed-through to sub recipients $ 7. Expenditure code(s) for pass- through moneys: - --- G. DISPOSITION OF ITEMS QuESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned .amount 1. $ 2. $ 3. $ 4. $ 9N9. '19 Summary of current status (attacb copies of correspondence with grantors supporting disposition) If. REPORT DATA CAT efT I. 2. Prepared by: Phone Number: DQ\,.,'\'<'"rt~ U J<'>..\ 4rd. :::...,e:, -.3 ~-- ?q)-=- 4-55 - , ',' L ll:': 'i'~ { I '!s~ "::' (\,: ~ 'i&. , , "> ,':, ,", ,"'O',,, ',:,< ' ' ;:. " ',:, ::. ',..", ','"," ',,', ",", '.: ',. "'" :,': ',',., ,',' ,', .. ,: ,'., ,', ,: ' " , :" "" ' '", ' ".., '.' ' '.' "" :::. ,,' , ' , ," ,. " :" , '",O' ,,': ..,\' ." ", " ::",.... ' ", ,", " 'O' "..: ....'" ,:", .. .' .',',' :" :,',',,' ,,'.',' ,. ", ,,' .' ';, ,,' ,', "', ',,' ,,',: . , :', :':>;: ,',,:: ",: ::. :<, ' , .... ' . :' ,': ',.,"" ~~ . . GRANT TRACK 1 NG FORM DEPT OR FUND RECEIVING GRANT FUNDS__~_~4!:::::::_______.:.,,__ GRANT M)NIES WILL BE RECEIVED FRCM: ~~~~~~!..:. E.!:~.!:.!:.~.L___. Di rect______ I rid j i'ect~____,_ State Agency_____________________________ State ---~~:::~-~r Department -Wd~r~--~-t?.r NAME OF GRANT -L~-d--~:--~~:P.-=!'i---t!.T/t.~.3<' 1-- GRANT NlMBER --J2g.9-~--~-~2..2-__61J.__b_ie&______ TOTAL DOLLAR AMDUNT____~~~~-____________________ AGREEMENT PER 100 Beginning Date__~:~j~~____ Ending Date ____~~------ gg~~-~g~.! ~f~.!~_~g~ ( 'I f necessa~y llt tach approved Grant ,Budget) FLOW l'HRU GRANT? _____ 1 S GAA'JT RE 1 MBURSAI3LF. ONLY?_':::::::=' ADV~'JCE FUNDING?_____ MATCH II\'G FUNDS RE~ I RED? / ~!:g~.!~L~'Qrg~1. !:l.!:E~l.!:~-!}r.!__S:::...!d~'!:.<:..."2..h_L)_'...:~___________ !:b9~!: .:.....:?.::_'O._.d..0::'_ -L2:?":, ~ :"", '.(",: ' " : ','.,, '," " ' , ':"',:,,.~ ,: ',',: :;,"'" ,."." ':,: ",' O' :,,:' ,,.:' :; , :,.. ,:",,::,, ," :':',;: " , " :'" ',,:,'''' . ;':, ,', " :: ,,' ,::"," :,,' ,." ,': " .... ,'.': ':,";.. ' ': ,.,', ':.' ","::"":',': " "':::'.:' '.',' ;', '.'",' ,"" ",,, " " , ' ,"': ,,:', "", :, , , ,,:~ . PROGRAJJ/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) MISCELLANEOUS FINANCIAL INFORMATION Unexpended at year-end Has this unexpended (Circle answer) List dollars, if any, of this unexpended amount that are encumbered: Is this budget for external funding only or does it include entity moneys budgeted for this program? External only ~ Complete program budget E. 1. BUDGET INFORMATION F. Original award amount 1. or contract limit $ ;;/<:;l(,/ro3 ,do Add: Additions + /J;/s)",c,cj 2. Less: Deletions 3, 2. 3. 4. Total award/ contract amount 4. $ ;:n) ,q ~6- ~I 5. Less: expenditures from prior year Award/contract amnuot available for current year Less: expenditures in current year 6. 7. 7. - l5'1;~3Y.1,("" 8. $ I /i'3, 3o'-f -D Co amount exp,ired? Yes ,E) 9. 10. 11. - . 5. Program cash/invest- ments at year-cnd $ Program payables f~tZ~Ileggvances $ at year-end $ Interfund loans at year-end $ In-kind reported to grantor $ Moneys passed-through to sub recipients $ 6; Expenditure code(s) for pass- through moneys: .:' G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF TIllS PROGRAM Summary of current status (attacb copies of correspondence with grantors supporting disposition) Questioned amount 1. $ 2. $ 3. $ 4. $ II. ~PORT DATA I. Prepared by: 1\. b-w-G_~ \),JC\. I~ 2. Phone Number: ~.,:,., - :>'~-..; ~ ,- ,Ii CAT CIT 4-55 ~ 8 PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET (page I of 2) . A. Agreement Identification: Fund No. /:; 3"" Fund Name Dept/Program No. C,J~ &> sC;:- - Revenue Code 'l <1 / XU Funding Source (8) B. Agreement Period: Beginning date Original ending date Ca-v~,t;( ~~~ Depf/Program Name/ (Give (Federal catalog no.) c;~~ /cf&; //<(/0" I C. REVENUES D. 1. Program/contract payments received during current year Ir~ $ "/CJs-,d()(} , 2. ,Less: Receipts for prior year expenditures 3. Add: Amounts billed but not received at year-end + 4. Add: Amounts expended in current year but not / /0{.fJ~C;: \S- billed at year-end + 5. Total revenue provided (OIO~ ~(, <,<' 1. by external funding source $ 6. Add: Other external 2. revenues: a. Program income + b~ 'Donations, etc. + 7. Add: Entity moneys used in the program/ contract + 8, Total program/contract / /' 3. resources $ (pO<)\I"c.,',<\ I - CAT .J.. C/T ~-54 il~..JJ,:' IJJeyt1...r.- (3()", Q epartment of agency) ogram title) /...<HA-~-=I fr Pw - fG.-o/7 (State contract no.) Extended to ~~ EXPENDITURES Dept/Program External funding source's amount of expenditures Add: Expenditures from local sources: 8. Program income b. Donations, etc. - ..-- $ (;0S- S'(a)':~) I + +-- c. Entity moneys + Total program/con- _ tract expenditures $.-fRo<;, ~ros:, \ IIUlI . \ fit . PROGRAtJ/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) MISCELLANEOUS FINANCIAL INFORMATION E. 1. BUDGET INFORMATION Original award amount or contract limit $ (oft, a. J,&''l , Add: Additions + 2. Less: Deletions - &>0 o'lJ.r;-7 3. 2. 3. 4. Total award/ contract amount $ I~OO,,,d.'J.l/3 5. Less: expenditures from prior year Award/contract amount available for current year Less: expenditures in current year 6. 7. F. 1. Program cash/invest- ments at year-end Program payables ~~t~~gIieggvances at year-end Interfund loans at year-end In-kind reported to grantor Moneys passed-through to sub recipients $ $ 4. $ $ $ 5. 6. 8. Unexpended at year-end Has this unexpended (Circle answer) List dollars, if any. of tbis unexpended "amount that are encumbered: ~7. Expenditure code(s) for pass- &OC;-,6'G.)",,> tbrough moneys: $ ( ~,(f, I'J-) amount exp,ired? Yes!ff2) 9. 10. 11. Is this budget for external funding only or does it include entity moneys budgeted for this program? External only Complete program budget _____ .:- --- G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Questioned amount 1. $ 2. $ 3. $ 4. $ Summary of current status (attach copies of c~respondence with grantors supporting disposition) II. REPORT DATA I . Prep. red by: D Qkt"'"4 t..0 c, \ I:..:,'<"d 2. Phone Number: :>"h - ;), ~-. .3 <"'1l \ .'/ CAT CIT 4-55 IN ,.., , , " c' , < ",' ,., .' "'. ,".', . " ' ", ',' >.' '.. .'.'. ,...",. .,." '.' , . ',.. , '<.~ " ',. ','.,. .,..,' ,.".' .'" ."., ',., ; .,.. .,'. ..' .'..,. ". ',' .. ,,' " '. '.'., ", .".. ,.",. ", .:' . ,,',," ".,' ,'" ,,"; ,':, ,,'; ..'.,','.' . ...". ,'.,..',.. '.,..... '.'. '. ,".. ','. "> ;.... " ". ,', '" .', ' d '., '.... " ",'. ..,.., ," ',,",<..;; :'FIRSTNATIONALlffIiIJ . ' ,'.,. , ,'.'., . ',' "',' "J. '+ ~ U .....),'",.;:~.. I 8'" ~ ':. ',': /: , I ;'" I:' F ... 'vENDOR'S COPY ~---_. , AGENCY NAME , ~ COMI~WlITY DEvELOPMENT .....'l'EE ~EFFERS[N CUUNTY TREASURER I N V 0 ICE MO. OAT TfAt NUMBER REFERENCE FORM ~&.~\\ STATE OF WASHINGTON I 108-0 lR~~tl'1~~~8 VENDOR'S REMITTANce ADVICE 00732 I ...~,~, '"0 I'" I ...., 0000000687 GO ad3756Q os! 121 86 AMOUNT DISCOUNT I I : I I I I I I I I I I I I I I I I I I I I , I I NET DUE I I 9~ 0401.00 I I 99: 040~ 00 I I I I I I I I I I I I I I I I I I I I I I I I I I I I lIMP' of,.".....--..' herge. tor _..... . of W........ afld .,..... ...". ~ ,. .. rK8. .-..d. I I I I I 05 109 :S6 I INVOICE PliH6-0 17 514 '9 d...~//. -"",,,to , ,. - Invoice vc:u::her tl ~i !Dan J\rlDunt $660,267.00 r 1:; LesS PreVious Draws f First Draw - 15% of Loan 99,040.00 $99,040.00 '~, i K BaJ.~ $561,227.00 r.. i 'M Total - Vc:u::her !ll $99,040.00 ." if .JI I:, f:,.,. l7.~.' ()/- ;}~71t OSi;;66 7S'itf7"o N' DO< ---; AFRS ACCOUNT CODE 'ft1oC)Olo .....'A W'lNXIA ".""'6l "9i 11:)0 /' - or. CODI g ~ IflO :::.. c.c:uny a.... ..... ~-- ,...., oar ~IO 'IN) .~::; ..-oJICT =.. = ~ '=..~ ~UU u:iI ...,..., _oa --0 ~I) Ol' .."::::7':' u ~ ., .(tV' 'fl-(WO 00 i ! I ! I .... s-1-B6 "\1.1",*,,.0 fi(,.AA1"" ;/ ", ...'. .. " '.:-, '..,", :: "". '..'.' :i ..".:. '.'.'. ,,: .": "'. .., " " " ,..',i,,:' :.' ", .' ,,'.. : ' ",'" ',:>',' " """ ' ..," ,,'." :': :' : ......' ." .', '. '.... . ." '.. .' ..,', ',;' , "i '.... " ; ,;. 'X " ,.' ,\,' "',: "': , .;',' .::. .; ,',: " ", " ','" , ",',,'" "', , ",'"...' :'''' , " ,', .:' '.' ,', . " " - ',,,,,, I " ,',' :, :,':, """ ' :,:: ," " , , "",' " ' ", " ',.' ,"', ' ,:. " " ,,', ".,: , ':',', ..,.'.. " ">'~ ,;" ..' ",', "" '" ,,' ,.," ::,:', '.... ':" "',' "':,',,' '" ':" "'."" ',: ',' ',,: '0;' ',,' ,',', " ',', '" " ,,".," '; , ,',:.,;,>:< ,',,' ",:, ,,," . ,': :", ".:', '\, ':'. ',. ;',' ,:,. :,",,:" ;,'" '::' ',. ':: ',"'::', ,,".':, " " ',,'," , ;~ YEAR /9 S1,. .. ~<.oro ~ ,,~0~ !lATE l/l/Ms~ L/l 1/31 Feb Karch . April May .June :July August f;ept October November December DESCRIPTION BEGINNING OUTSTANDING Current Year Contract January Request Receipts (November 84) February Requests Receipts ,(December 84) March Requests Receipts (January 85) Receipts (February 85) April Request Receipts (March 85) May Request June Request Receipts (April 85) Reciepts (May 85) Additional Contract July Request: Receipts (June 85) August Request September Request Receipts (July 85) October Request Receipts (August 85) Reque:st Receipts (Scptember 85) December Request Receipts (October 85) R,-~,-L \IJ~ FUND OR DEPAR1~NT CONTRACT RECEIVABLE REPORT TO COUNTY AUDITOR / CONTRACT REQUEST RECEIVED BALANCE (.;,=. ;;)dl.(. C{) qqoYO .:: 39c..,1lj,o l3/31f8!1'S\P . ,ENDING OUTSTANDING BALANI E If))", (>) 'I.'" "','. -;; ..; '".. '.,.:, ',. . ,:, ,:; .' :,,;' ,'."': :' ,"':.., ':":;"",:, '::', ':', ", ",;' : . " , :.0 .J, "." ,".,: ,',: "',:,:' , ""'.' ""':',:' ';.' ':.' : .,...".".., ,..'"., ' ',..." " .. ' '" .,;",: ,', ,":":," ;,,' ,,:, ..'..'.:...., ,::: '.: ,', ~ . . !16lf/, [' , IIOf/<J '<)f'7 ~p 0 ,-dOl, 1~:;)'v'J~~ ~'r-~ !! vJL~bl r'<-d'QJJ..,,,-t.- II ill i: ;j !, ' Ii " ;?i4lr (2-<~ ~I : ., 'I 'I ,:,":. I - ^ W 1,''(( _~v7..J!, "~ ' r: i,l' .:, i:Z;~"~t~ 'I! )1 j/o~/qil !~il! 'Ii ';: 8 ' , 'II , ~ IS-W ,9 ' 'I I I, ' 8 ",0//17 tJ"-,<v+-~~ ~'i ,/()o-g>~H' :\:\~3rNn,!1 7~:J7~?,7t :0s:J;:"",;:T1;" " 1__-+:------0 1'\." ,> 'i",-,"c!,J{-Qf2 Q..-k_ -4-'-.!L:L 3G i:te' , ......:.'=--~_~_-1~ 7'~: ~~'LY.!:" " : ~"'.:. '^"J- ') 'II, 8'0 I I:!I I .., .0\ II : '(101 " "j, (j , 'I ' w'''''I::' ~-5: JJ:- I i' " " I ,- I -/ yu <l~ ' , 'I I , 'I" :: ~--J--______ ____u - , --- - - ---1__, ----L--~-~~~~tll---~ I ! ~~:: 16:: II: IT I I I I I I, I I ,16 , 'II I j I I r' I I I Ii" :1 'II,' 'IS 'I ," i 'I I" ------1---- ---- -r--------r!r~ ~:21 I) h22 Ii il" II [i14 u~___. --,~,-L-J!25 01 I:" ""',1' Ii '!n il @ 2 :' .,il , I , , , i!2 :!J " " 21 " 13 ';'.1 " " 19' lO " .' ,) " 1\ " ,. Ii ~,- - - i~, '! Ii " i:n :1 ,i :'~9 .. _ _ -.-__~__ __ J___ __"'____~>O " 31 18 1'1 ;:; ~I IIIII sO'; fJ I ~ :<:.. '" ~E~fl 11 ~ MUWcnU,.d R Cl;J'~ ..... co en QI-lUUI-l......... .6-JCOCO.......... LIlI = I-l I-l d d ""'0""''''' 0 CU..... ,",U d au 8 0....... 00........ U t:l4V,1(.JU tn..... U ..... -..-....... ..... I-ldCoQUJR......... ro..........co""..... ..... ... d d ... d' ~CJeeCJ~..... .d.....CtClCIJ.....~ VlI co ..... co ... u..... co ... co GJ..... co > ~t ..... ...t"'d co U'.-4"\j ~QJ.uO...4.I..... f-4~cnHp.,~tI) c2l 0\ .... " o ... <>< .., ..., ~ -.: . u >= '" - - ;Y 'II!C) "" C> " "' acn , ~~ I a cn>:: cn .., ... " C)-.. -. ~ I~ ., e ~~ ":).. '<S '" 3., .. ~ t ->- \;, " ... '0-- NI ~ (J .,; ~.... 0::: ~ '-.3 " cr-- " ~ffi a D ~ 0 '" .. " ....... ""- .. ....~ " cn z a "'.... l) ~!; ., ""'" 0 ........ '~~ <\; , ~ .... ~'" az ....0 Z.... ........ .; ~i C> .. a~ ; ::I g: .. ,- ~'" 0 () \;) t--- 0 ~I n \ rt.- , ) "'" I " 'v, , ~ ~ 0 ~l:! ~ ',- ,,,,- C' " ~ ....... ....... .... " ~ t C> ~ I; '\::.] a ~,j ) <><<>< ~i -I \ lr)-~ "d (') '" t-~ .(." 0 ...J ... ~:~ .. ",l .... H -, z , " l':J ' c -.: , - \; .--..... ~', "'.... " '\ .) ~u "'.\ " " ~ ,,- ~ " , ....~'" ,~, ~ " 5"'''' \ -. 1":: ~ ! <- l'.... ael cl I , ~u2 \ , ~t:l;r. : c ), , , '. v <:., ..,-.: ;::: ,~ Q. , ), .... - ,~l;; - { -~ , .. ,1.\ k .. .. >> ... " o "" .. " '" .. '" .. .... .. " " ::I . '" ..'" ..... "''''' .... '" .~ ~~ ...... u...., cu.... ... ...... '" "'... " .. .. ... ..'" .. "'''''' '" ::I .. .... .....u .. .. " n ~ u o c a..... .. ::I 0..,0 c: ... ~..,.. .... cu.... ... " c: .. .. ...c a .. '" .. .. .... .... ... VI tG,,,4 ......... "'., '" ..'" ., " " ..~ " ... .~...... "' ........ ... .. .. '" " " " ..,..,.., ~~~ u u u ~~~ 'lI1 -- - - . . E. 1. BUDGET INFORMATION PROGRAtJ/CONTRAcT ACCOUNTABILITY WORKSlffiET (page 2 of 2) Add: Additions Original award amount or contract limit $ 0(</5<1'/,<,-0 + 2. 3. 4. Less: Deletions Total award/ contract amount Less: expenditures from prior year Award/contract amount available for current year Less: expenditures in current year Unexpended at year-end Has this unexpended (Circle answer) :'Jr, '1,cJ, t) 9 $ '::t, n9t:,o.<i/ - ;)09&0,(/1 $ o List dOllars, if any, of tbis unexpended amount that are encumbered: 5. 6. 7. 8. 9. 10. amount exp,ired? Yes No F. 1. MISCELLANEOUS FINANCIAL INFORMATION Program casb/invest- ments at year-end Program payables l~t~~~~reggvances at year-end Interfund loans at year-end In-kind reported to grantor Moneys passed-tbrough to sub recipients 2. 3. 4. 5. 6: 7. Expenditure code(s) for pass- tbrough moneys: tV I p., $ CG- $ $ $ CD- ~ <Z;}-- ce-- $ $ ~ --- II. Is this budget for external funding only Or does it include entity moneys budgeted for this program? External only Complete program budget ~ --- .:- --- G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM If. !i Questioned amount 1. $ 2. $ 3. $ 4. $ Summary of current status (attacb copies of c~respondence with grantors supporting dispositi~n) ~~ CAT CIT I. Prepored by: 2. Phone Number: 4-55 . . . PROGRAtJ/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) E. BUDGET INFORMATION F. 1. Original award amount 1. or contract limit $ 13~OO 2. Add: Additions + 2. 3. Less: Deletions 3, 4. Total award/ IJJ.,QD 4. contract amount $ 5. 6. 7. 8. CG- $ 9. 10. \:, ' 11. MISCELLANEOUS FINANCIAL INFORMATION 5. Program casb/invest- ments at year-end Program payables f~tX~Iieggvances at year-end Interfund loans at year-end In-kind reported to grantor Honeys passed-through to subrecipients Less: expenditures from prior year Award/contract amount available for current year Less: expenditures in current year Unexpended at year-end Has this unexpended amount exp,ired? Yes No (Circle answer) List dollars, if any, of tbis unexpended amount that are encumbered: Is this budget for external funding only or does it include entity moneys budgeted for this program? External only Complete program budget 6: 7. Expenditure code(s) for pass- through moneys: N / ~ G. DISPOSITION OF ITEMS QUESTIONED III PRIOR AUDITS OF TIllS PROGRAM Questioned amount I. $ 2. $ 3. $ 4. $ $ A- c;;;;::L ~ <;9- $ $ $ $ 'A-' r7J $ Summary of current status (attach copies of c~respondence with grantor. supporting dispositi~n) H. REPORT DATA 1. Prepared by: 2. Phone Number: Ii CAT CIT 4-55 , , " '.., '.. .,' ;/;, :. ,', ',' . ',.,' ' > ,.',. ,.' ..:' ..., '.': , .,' .', .' ,', , ". ,,'.',. ' , ..,' ',.. "'..",' ,.." " :' ': '. " .. ",' " , '.',' .'" ,": '" .'..'..". .". ."'". ,'. '.,.: , ",', ..., ",.' :/' .', ,: '..'.: .,. . ..':::' '.,' ;,'::.'. ':::, , " ".,. ,',,' , ".,. '.., , " ., , .:,' .;, I . YFAR , DATE DESCRIPTION 1/1/85 BEGINNING OUTSTANDING 1/1 Current Year Contract 1/31 .January Request Receipts (November 84) Feb February Requests Receipts ,(December 84) March March Requests Receipts (January 85) . Receipts (February 85) April April Request Receipts (March 85) May May Request June .June Request Receipts (April 85) Reciepts (May 85) :July Additional Contract .July Request Receipts (June 85) August August Request Clept September Request Receipts (July 85) October October Request Receipts (August 85) November Request Receipts (September 85) December Dee ember Request Receipts (October 85) 13/31/85' . ,ENDING OUTSTANDING BALAN E , " '" " :', . FUND OR DEPARTMENT CONTRACT RECEIVABLE REPORT TO COUNTY AUDITOR .-' CONTRACT REQUEST RECEIVED BALANCE := .:', ," :.,'", ;.' , .,.' '., ,.... ':.,;, . .., .. ,;.', ';: ::, :.',::' '. :' ",.,"'., :;. :.;,:':, ':.' ..,... ,;. ',' :' ',' , ': :-:' , .,,: " ,:'''' ,: ,', ,:. .'.. ,.": .' , .. ': " ",' , " ',."',, ,<' ':', , , ," :;, : ' ::",.', "".." ,:,. '.: .:.,':' .' ," ;" ',' :', ," ' , ", :, ., :.' ':: , " ''; __ 1 ,- _ _ ,'. \,l '.,.d~ - -. , ., . "...... --~ , -' ; ',<~;,.., /:;.'^:" .'..,'....,.,..,:( , ';}.,,:"';)::\:~'::';'i',: " ,.-,':'.';',. ,~ ,::,_:_i~, ,:-, ::'; ,:-,,:'.""':<i.;:",:, "...; :.;.:L'"',, '''''. "',"', ;:.:;~ ; ",;,':'c ::~,:::~' ...c',,:. ~~ ;'.H,:_ ..:::::,\' ';~;::~;i ;".' :\:,?,;,<:.:i' ,...-,' ',";,';' ;,"\',. BUDGET INFORMATION PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) HISCELLANEOUS FINANCIAL INFORMATION E. 1. Original award amount or contract limit $ Add: Additions 2. Less: Deletions 4. Total award/ contract amount 5. Less: expenditures from prior year 6. Award/contract amount available for current year 7. Less: expenditures in current year 8. Unexpended at yea r-end 9. Has this une~penued '. (Circle answer) 'H, <101, all + 2. 3, 4. $ L/9, ?la/, ~/) 5. q.'?" <I~/. tJT) 6. $ G!:lOUDt e;.(piCed?@!No F. 1. Progra.m Assets ,at year-end $ Program payabIes at year-end $"_, ['Ktecn)! arlv.,nce:; .at y"ear-end Interfund loans at year-end In-kind reported to araotar Honeys passed-through to aubrecipients $ $ $ $ 7. Expenditure code(s) for pass- tbrough moneys: 10. List dollars, if any, of this unexpended amount that are encumbered: . 11. Is tbis budget for external 'funding only or does it. include entity money~)udgeted for tbis program? External only ~ ' Complete program budget G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Summary of current status (attacb copies of correspnndence witb grantors supporting disposition) Questioned amount 1. 2. $ J, 4. $ H. REPORT DATA t) Err DATE 12-JI-Si SUPERSEDES \j':"j'::"S-r- : 1. 2. Prepared by: ~Jr; r2,r....~" Pbone Number: ~"",,,t< \ ":7::; - 7//01 ~NUAl.: PT I; CII -6 PACE 1;4- VOL T . . . '" . ~ ' . : . ' ( ( ,..,'., ,',;-',', '. .:",'>., "'-,J'.: " >.~,' (~",,)^<' . ;,-, ;''":::', _:,::',....:,' ", '--')',> .",">"'." , ""."'-'--'" .'1,'; w, ~\ ''.::.\'' '":,,,,"'-.':";';""'-",'; , .," -:., :' ::, :" '- -".:,; ::_~! ",-,,';';':',"-. ",:c;>";':''''i-'' ,J:;' ::':'.' :';::;.,',"'; l''f;''', ,'-/,' , GRANT TRAO<: ING FORM DEPT OR FUND RECEIVING GRANT FlNDS GRANT M:lNIES WILL BE RECEIVED FRCM: 9Q~~~~.!. E.!!!!~!:~.L__, Di rect___-,__ Indirect-,--_ S ta t e Agency ...::::J,..::6.,/,t.~.=~*-~~-T0?Jr ~..MZ;: ~"!:l~ ' li - -----"'":- ~!.!!.!.!!-, Agency or Department NAME OF GRANT__________________________________ GRANT NLMBER _______.E.ffJ22Ll_::...2U::..L2L?.::..9-""'Y-=..~_Cl..____ TOTAL DOLLAR AMOUNT_______~~~_________________ AGREEMENT PERIOO Beginning Date E:ading Date _~-Ji2/Ff~ ~~~~.!. !pcpEN) !!!~!!!LQ:lDES ('If necessary attach approved Grant ~ddget) FLo,v l"HRU GRANT? IS GRANT REIMBURSABLE ONLY?____ ADVANCE FUND ING? ___ MATOlING FLNDS REQJIRED?_____ ~E~C I ~!:2:!QIg~.!. '. " / , ,/ E!:!E~!:!~~~l_~~~~:'~~~_________________ EbED!l_______________ ;!: ~ 15 u.I !;j ~I :!: '" J~: x- u ~~ - ~- " c..._ ... ... ..." 0... "'.. ..... "'.. ~~ "'.. .. .: '--.~~..., I~ ..~~, , ,__~. ~ &- It. .... N' ... " ~ u 1: .. 1i .. .. a ~ .. 5 e;--;; -I c: U ::.. e- to..3:;'. 8 2<...:: ... .:~o 8 "a. ...~:,s . .. en .... ~ ~<g~ ".a... ~ ~ g~:: BoS;1I E .C:: >-cn~ ~~!1 ! ..., ko > u.. .. ~ ".... 'V ., ...~" u PC Q~::~ 2 "0"'08" :f ~~:~ . ti t: t;; ~ -; ~ ~ ~ ; "= t; uu::~ ~ u u.... :J ~~i3 ~ -=-=-=1 ~ ...101 U ~C~ !5_ .._II: ;; ~::e.! ... "".,. ;:~j! ?!. ..... .. ]1 ..... ou > ~8 ...... .. ..... .. u ., u .. .. .."s ..... ........ .. .,... .. ..., " ..u.c .. "'.. ::11<.... U"'''' I 0 I I Q j '-S 1"1 [) \.rj' '-!l ~ It) .... ~ '" ";J-- t~ C"- g~ \.0..1 Q,; IL Q t:. ~ .. ...... u .. .. ,....... "", ....,- .,.. .. .. > u .... .. .."'''' " u ...... "'0.. < U &.I ~>e u,.-4 ...,. !!E .. .. .. CQu" "'u -...... .. .. 8 ~!J ., ~ ....~I u u . .....0 .......'" 0.. ... ., u ~ '2~""" U 0 ... :c .:: ~ == . :! ~ '" SL 00 u.. u < ~ ., ::. < ...... G".. ) ) r r - -, r -, / ' ,/0'1/j 'tJllttttft;rcJ1L. I~ ~lr 1;( II ,)1 t ~ - - - -, ill I' I L .J L L .J .-Jj. r r L L r -, ,.fifl.,..,..,.:;7j'.If1.I.(;...1' tftltl/t.~!. ~7~ .f~f( I J) ! I II. I' . '\ :11 ". , ' " \:,111, ' \ ~ ~ ,.b I' .. \G..; ~ " )fl""' (J '\) lo , \}\ 011\ (&?:r , 14'" 1 . 'a ! II' ,,". /_[ , L.,1 /(',""1 Iltj I:. / / , / / ., :\."', . i L ...J -- -, ..j. .-Jj. ( C. 1. 2. / \ 3. 4. 5. 6. 7. A. PROGRAM/CONTRACT ACCOUNTABILITY WORKSlffiET (page 1 of 2) Agreement Identification: Fund No. L~~~ Fund Name Dept/Program No. Revenue Code 33'1 Funding Source (s) C::::r:~/&c;;, .~C::://-.'_. Dept/Program Name o~ -(GiV~~:;;--:~f"'f~~e:ii;~;~t~~her department of agency) (Giff;:i:;;lf::':-t~~:; pr~::'''~::;1) Lj ?/op.?o?,& (State contract no.) (Federal catalog no.) B. Agreement Period: Beginning date .3/.1$ /e7 Original ending date ';:'/2:/&? REVENUES Program/contract payments received during current year $ .;;S,393.9/ Less: Receipts for prior year expenditures Add: Amounts billed put not received at year-end + Add: Amounts expended in current year but not billed at year-end + Total revenue provided by external funding source $ ";:;8 .3'93. "J'; Add: Other external revenues: a. Program income + h. Donations, etc. + Add: Entity moneys used in the program/ contract + 8. Total program/contrart / rt'sourct's $ .:::<e, .3'7.5'. '7 Err DATE 12-31-87 SUPERSEDf.S ~5 Extended to D. EXPENDITURES Dept/Program J. External funding source I s amount of expenditures $ .:2%,3'7..5';''7/ Add: Expenditures from local sources: 8. Program income + b. DODation~, etc. + 2. c. Entity moneys + 3. Amounts passed through to subrecipit'nts + Total program/con- tract expenditures f ,-:-;;/: o87.3.7V 4. BARS MANUAL: VOL T ( PT I; CII '6 PAGE 43 PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) E. BUDGET INFORtlATlON F. 1- Original award amount 1. or contract limit $ ~ 8 3'13. ~</ 2. Add: Additions + 2. ~. Lc::;s: Deletion:; 3. 4. Total award/ 4. contract amount $ ~'iJ 393,?</ . 5. Less: expenditures 5. from prior year Award/contract amount 6. available for current year Less: expenditures in 7. current year - ...:28.393, '7</ 6. 7. MISCELLANEOUS FINANCIAL INFORtlATION Program Assets at year-end Program payables at ye:Jr-end $ $--~===",~ E~.(terB) t adv,'lncE"~ at year-end Interfund loans at year-end In-kind reported to grantor Moneys passed-through to sub recipients $~=--~ $ $ $ Expenditure code(s) for pass- through moneys: 8. Unexpended at yea r-end 9. Ha5 this unc:{p~Hded ;::~OUD.t e;(Pired'?~ No '. (Circle answer) " 10. List dollars. if any, of this unexpended anlount that are encumbered: . 11. Is this budget for external 'funding only or does it include entity moneys budgeted for this program? External only )< Complete program budget G. DISPOSITlON OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Summary of current status (attach copies of correspondence with grantors supporting disposition) Questioned amount I. $ 2. $ J. $ 4. $ }1. REPORT DATA J. 2. Prepa red by: Phone Number: F.fF DATr. '12731-:-87 S\lPF.RSF.DES ~R5 : LJ,k; :1~-:l. _, >" ~ ~"::;c6 ') "?~C - '7/(, '7 DARS tIA.!I.!!~T,,: VOl. T I'T '4 CII -6 ( ( PAGE 44-- :'.;'",;:,< :!l ~ '" o b '" ',', :'::u::;:,"-:,:"',i::::".:':'..:',":::,;:'.':,':::'::. ,:','<,:':i;--;'::,:',:::":':::",.":'::::; . ',':" .:'::':-',: "-~ '. <:":;;},';:.". ~ .~." :', ;,: ::::,.:., ":C'" ;' '. ~":-\:. >';;'-:-:'::''-~ "';;i'-,'i',','i:',(,,:~,; "''':~:~ ; ,.:.'. ,,'."::"". .'.' .,::?':.': :,~,,'<:__:' ;_~'.<,,:'.;.,::...'.: o.::'~ . ':.- .' ~ .. ,- ,,,' " .. -'. ..:. ','. '.',' -".::.:.::-,'_-;....,i.,..,<...... '...:.".--.-'.;....:....',.... ,....,.:...-;:..,-<,,".,. .,.'.'.', ,':--:..':"',".,,;.,:.': L ..-;.< -">"::'\:'::">':';':'::":::';"":~':: .. '",:",'-"i"" ,,',',''1.'' ,". "'-":;:',:~ :.:). ;\;~{~'/. -,<: .. ,'. ":~:'. .. :' (':/::;'.-' ;':,'i> ' -,:";\'h::; :,::,'.-':,:::,",::."; I , i ~ ~" - 1'1) " \)} '(i' "" tt, ~ ,\); \'( .". " ~' ..{O ~ ~ C\: <:i " W ~ ~ , - .:: - " , '"-, ~ -~ _w ..~... ~ u U u .. u "'''0 .. u ....... .. u'" .. u " " "u"" .. '" w :s l<.... u...o .. ~- u ~ w ... u... " l>. ..,,~ " U U u> u .. u u ~ cc c:r: u ... .. "'04 < 60~ .. " U.... ... ~~5 -.... ... ~ . .. .. "'.." "'U ~ - "" ... .. ~~ " u ...."'.. ~ . .. g ~ti) ~ .. ~!J &- > 0 .:: .. !:c1 C'j .... '5 .... ""~ ...., " >-U . ~: ~ =~ .. ... a .. " ...... ..~ " ~~ ~ ~I. c...~ .Q~O ... '" P: ....."" l:l.:! 0.. OJ > ..... ~8 " .. .. ... ~ ~ '" u c >-- co'"' 0 -I u .. ~.:J .a- c u to ~S;'f "'.. " ""'" .. .... - .. 0 .. .... .. DO" 0 0 . ...., .:: <~.a ~S 0 8. -.,,,a 1: "" .."'~ .. ~< ~ ~ ... ~ ... u.. ".cI .. a. ~ J-. ~<-:: < 0 .,.. '" l!~5! 1 E ~ >-111... .~~ !l l! ., ..n.. > "" u.. ~ ! ~ Iol....." If ... "a III U Cj~~~ e 0 u ... ~~v" '" ::! " '" II V .e:.~ tIC ~ tJ ~~8; J ~ "" ~ c..,. c a::t:e.. 3" . .. .. 00 uu.~ t- i u U~ a CI .... "'" ~~~~ ~ ~~"I .. .. 4 ..... ~ "","",u --I: :::: <<! " " " . ~ ;:;:~! ~ (';";' ) ) : .' . .' ,'. " ' ',.'" "'. '. .. ",. .' ' ' . '.. " .'. ," "'..: '. ... . "; .'" ...' ': '.',' , " '." '.. " . .',,i.' -. ',' .' . '>', '. '.' . ' ,,'.: ..... :;,'.'" "', . ""',": .,....:.,':..',. ,"", .::, ',:. " , ' ",,' ,,:, '", " ' ... '. - . ' . .. . '..,.:';" ,. " , .'. :i.',.", , , '" ....., .':'" " ", C '''. .' "'. ."" ,', , . . . , . . , STAn: Of W"S,""HGTO'" ~ INVOICE VOUCHER I '7':')<1 ,j ~1?'I.; Geo;? ~/;j 2';', llGENeT USE OHL y I ""'IOCY NO. I LOCAT1ON COD. ,...... OR "un<. NO. I ../ AGENCY NAME Department of Ecology Mail Stop PV-ll Olympia, WA 98504 ATTN: Jerry Louthain ~ VENDOR OR CLAIMANT 1'''k'~L ,~!: ~ payable te) I Jefferson County Dept. of Pub 1 i c Works P,D. Box 1220 Port Townsend, WA 98368 wSTRucnONS TO VENOOR OR CLAIMANT: SlIbmj. ,h,. lb-rn jn 'oplieal. to cI..m paymfHI' 1rN' mlt.,ial., marchandl." en .~... SIlo..... comp/ar. dat.rl lor ..ch itam. Vandor's Certificate. I hareby carlll)' und., penally 01 perjury thaI Ihe itams and 10lall l,,,ad hatein .t. proper charges for materials, marchand'se or ..rvlces 'urnished 10 Ih. Stala or W..ttington. and "".,.11 good. "'lrn,shed _"'d'or '.""',ce. rendered "a1l8 been provided Wllhoul dII5C',m,n,llon on 1I'l(! O'O\lndl5 01 rece. c,.~d. color. n,lion,1 or'Ol". .... or -g. FEDERAL 10, NO OR SOCIAL SECURITY NO (For Report,ng Per100n,t S.....,C.. CO"""' Plym.,,:s Ie t R S I ! 8Y~Y __ ~~:...:~:;:~'^ Jo-.J,...(yj7i? n ---7i1io r---' (o..){) DATE DESCRIPTION QUANTITY UNIT UNIT PRICE ~MOUNT FOR AGENCY ! USE r;rrl 1;-0 j.: '~ I' COllECT I PR(PAID \lE"'DOR NU"'8ER I DATE RECEIVED VE"'DOA MESSAGE ~, ,~,. ~, '" ..,,, al , 'll. fur,> }k'- :: ~J : I 5 MOM I <;' - -- ~~COO/+---2!)JSU;94 ! I I I i I; I I I: I I I I I lJrMlICI II.JoWI '~l , Qf.)~ I . I I I I i I L. ! --.. ~" . -L I I ----.-r I I ---L ___ ~-- --. ~._- -. ~._._.- -- -'. ~- ~,~ ."""_'Iol~ ~Oto PA'''''''.~. Mi..L LICK 1__.. ..."... _.. __....__._. _____.__.....,,_____._, c."___~..~_~~_?2______~~~o9J. 94 -===-==-_ ,--.------- A'''. "f1 ~,<" . \:':'::',:":":}') ...... . ',', '." ~',,: . . ..... ,: .. ':; '.'''' "'., "'.."', ,', ':.', "...... ", ".' ',:C. ".' ;,,':,:, '. ' ,'\ "". .,," ':, ..' ....; ,:',,:.' ":, ".. '<, ..:,". .... ....... '., :.' .'.';' ..... ,:' . .... ...... ." ..... . ..' . ",', . . '; .~. ..' .... . ". '>'," '.,' " " ,': . ' :' .- . .... '.. '.:, . "";'.::'" ,,;. '. ',. ( C. l. 2. / \,' 3. 4. 5. 6. 7. A. . PROGRAM/CONTRACT ACCOUNTABILITY WORKSlffiET (page 1 of 2) Agreement Identification: Fund No. /33oCJ Fund Name Dept/Program No. CX"07.3o Revenue Code ~~~ Funding Source (s) ~~~fb~~Q~ Dept/Program Name ,J!3 7/ - "':--''/4./.. 7iP /9;'/ (Give name of federal/state/other d~partment of agency) ~~, ~/'/;I".. (Give-'feder~/state/other program B. (Federal catalog no.) Agreement Period: Beginning date .c-k/ff7 Original ending date . ~~ REVENUES Program/contract payments received during current year $ Less: Receipts for prior year expenditures Add: Amounts billed ~ut not received at yea r-end + Add: Amounts expended in current year but not billed at year-end + Total revenue provided by external funding Source Add: Other external revenues: a. Program income of' b. Donatioos, etc. + Add: Entity moneys used in the program/ contract + B. _0_ I::;....:; 000 , /.s~ ~ Total program/contract resources $ /5,::; ,.(."'0 Err MTE IT :ff:S7 SUPERSEDES ---rr:T=B5 title) 9S.:2ocol (State contract DO. ) Extended to D. EXPENDITURES Dept/Prog:-am 1. External funding source I s amount of expenditures $ Add: Expenditures from local sources: 8. Program income b. Donations, etc. + + 2. /S~ azrb / ..:::., - c. Entity moneys + 3. Amounts passed through to sub recipients + 4. Total program/con- tract expenditures ~ /s;;:,; ~d CJ / . BARS MANUAL: VOL T PT I; CH '6 PAGE 43 BUDGET INFORMATION PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) E. 1. Original award amount or contract limit $ ~.,;;>. thJCJ 2. Add: Additions + _ 0_ Lc::;s: Dc l~t ions 4. Total award/ contract amount $ IS;:;, ~ _0 _ $ F. 1. I1ISCELI.AIlEOUS FINANCIAL INFORMATION Program Assets at year-end Program payables at year-end 5. Less: expenditures from prior year 6. Award/contract amount available for current year 7. Less: expenditures in current year - /.5;;:?, (J-O-o 8. Unexpended at year-end ..--.. 9. H33 this une:-:pf:uded ~!:10U:lt eApi ced? ?e~./) .. (Circle answer) 2. 3. E",(teClD 1 adv'lnce:-: at y-ea r-end Interfund 10aos at year-end In-kind reported to grantor Moneys passed-through to sub recipients 4. 5. 6. 7. Expenditure code(s) for pass- through moneys: 10. List dollars, if any, of this unexpended amount that are encumbered: 11. Is this budget for external 'funding only or does it include entity moneys budgeted for tbis program? External only ':x Complete program budgef $ $__~===N L__ __~ $ $ $ G. DISPOSITION OF ITEI1S QUESTIONED IN PRIOR AUDITS OF THIS PROGRAI1 Summary of current status (attach copies of correspondence with grantors supporting disposition) Ques lioned amount 1. $ 2. $ 3. $ 4. : H. REPORT DATA /,,~,~~ /" I. Prepared by: Lh~, Y~"''''''''''c ,~/u(7'fu/./<-<,:-. 2. Phone Number: (<;;6(-,'!~&- - 7/-"_ Err DA1f. 12-31=-8-7 SlIPf.RSI:DES 11-1-85 ~~: VOl. T PAGE 44-- I'T I; ClI -(; ( ( .. :2 <og ~~ "' :; :: .... ~v => c n.. 5 .. '" -- ..~.. ..va v.. v .. " a .... W'" .. a'" .. va" .. u.a " "'. :I l<'" ...."'''' l;_ u ~ _ .. u .. " ... "a~ a u v u > u .. v u ~p::;o; .... ..... "0.. < .. .... .. a u~.. ~!E ~I .. .... ...." ..u ... - ~~ N' .. " ~ ..."'.. ~jJ ~ :: ~ .- .. ~~J > ... 0 :: u !:;! "6 ... -g ..... " ~tj" ..." .. .:l:l ~ ::~ - a ~~ ...... ,,-, ..~ " .. u . c... ... ~ .a~o "'...'" .....'" 0.:1 o. 0:;: > ... .. ~& 5 .... .. . ::l => .. c ...~ '" :- 0 -I u .. ~~ '" c u 8 eo ~.s:;-l ..... ,,< . ... - .. .. .... " t ':~O8 ~f. ... -~:&! .. " ~ '" '" ....~ .:: e t-c~3 '" .... ....a .... ~ ~ llOoC'" " " oC 0 ..... .... .. 1I~:J1I ~ i3 " .... 'r:.jlr.. l!l _ u...1 .. '" ~::&a.~ . ~ "... "" . .. ... '" . u .. ;.s!:~ .. ~ u ~ "'""u" Coo .~~ ~ ~ tJ ... ~, '" ..I .. '" l.I U . ~ u "" c '.. c a:ac.", 3'" 14 "..~~ a" u. i uu... ... de.... < i~~~ ~ ~~..I .. . .. ~ ..... ~ <<" ~_~r " .... ~ .i ... :: t . ~:j.i ~ ~ "- % ~ "- I ~ .1 fO ~ ~ "- ~: ~' ..... e ~ ~ { -.~ \,\ Cr' .. ) ) ( C. 1. 2. I ~. 3. 4'. 5. 6. 7. PROGRAM/CONTRACT ACCOUNTABILITY WORKSlffiET (page 1 of 2) A. Agreement Identification: ../ ~ Fund No. /3.300 Fund Name &?/_1,,-7;;:'" 7)~Qd~ Dept/Program No. es-:. 7:1 3 Dept'/Program Name Revenue Code 3.33 CJ -:; (;{ / Funding Source (s) ._~;.,,'{/~;'_7;"'~ Do-r (Give name of fedira1/sLate/other d~p~rtment of agency) </?~./.J-_,) C/iN:/' Au;'?'",,-, er"r.lj.-t.f (Give"[;deral/state/other program title) &05 ;:10/6~) L/J t:J?/':< (Federal catalog no.) (State contract no.) B. Agreement Period: Beginning date ///:>.)97 Original ending date ~~~~/ Extended to REVENUES D. EXPENDITURES Program/contract payments received during current year $ Less: Receipts f~r prior year expenditures _0 _ -Q- Dept/Program Add: Amounts billed but not received at year-end Add: Amounts expended in current year but not billed at year-end + Total revenue provided by external funding source + _0_ /", '??7. >tV 1. External funding source t s amount of expenditures $ )<'J,8'77. $/V 2. Add: Expenditures from local sources: a. Program income + b. Donations, etc. + $ /" , 8";7;7, vV' Add: Other external revenues: 8. Program income + b. Donations, etc. + Add: Entity moneys used in the program/ contract. + c. Ent ity moneys + -- 8. TOLal program/contract resources $ /0 , P 77. y~ 3. Amounts passed through to sub recipients + 4. Total program/con- tract expenditures ~ /",877. ,Vt/ EFT DATE 12-31-87 SUPERSEDES --rr:-r:sS PT '4 CII (; PAGE 43 BARS HANUAL: VOL T BUDGET INFORMATION PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) MISCELLANEOUS FINANCIAL INFORMATION Total award/ contract amount $ /". 9.;:26 Less: expenditures from prior year Award/contract amount available for current year Less: expenditures in current year - I~ ,:if' 77. V,L 8. Unexpended at year-end E. 1. Original award amount or contrdct limit $ Add: Additions + 2. Lc::;s: Dcletion~ 4. 5. 6. 7. '7, ';:<00 ~ 7;;' 0 ?I...:7.~ F. 1. Program Assets a t yea r-end Program payables a t yea r-end $-~~----=,. 2. 3, E~tecll]l adv~nc~~ at Y-t:ar-end $___ _----= Interfund loans a t yea r-end $ In-kind reported to grantor $ Moneys passed-through to subrecipieats $ 4. 5. 6. 7. Expenditure code(s) for pass- through moneys: 9. Has this un~~p~!lded ~r:lOunt c:.<piced? Yes ~ '. (Circle answer) 10. List dollars. if any. of this unexpended amount that are encumbered: ll. Is this budget for external 'funding only or does it include entity mone~s budgeted for this program? External only ~ Complete program budget G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF TIIIS PROGRAJI Summary of current status (attach copies of correspondence with grantors supporting disposition) Questioned amount 1. $ 2. $ J. $ 4. $ : H. REPORT DATA J. Prepared by: ,a.~u -r!,t^-",~, /d,,<'C/' ;{f//>'~: 2. Phone Number: ~;';(;0Zf:i..- 1~ En' DATE rr::Tf=B7 SUPERSEDES -rr:-r:-RY- !!@lU:k\1!J!,\L: VOl, T PT CII I; -C; P^GE 44- ( ( :!:: ~ E "' bi ~ I;, !;~ ~~ .. ~- " " ... .. ... ... s.:l ... ~ ... . ~ u ~~ "'.. ~ .:: .. - ... .. ... 1 ... 6 ~ .... N' .. " ~ .. > o '" ~ ...~ ~~ ou > ~8 .. 6 -.... ~-;; --I c: U ~ t' ~~I 8 g<.. e ....OJ ..., -<..:. o ......., ; S:"i:t e -0 II. ....a ... P'J Ja. OO~.... ~ -c~".t 1I~ 51 := .. US" : '~~I: l! ::~~:: ".. ... "'''''"0'' W." " u ~..s~:t .. "'ClII~V" iU" ... u =->P:Q . 1/ \,J iU J I..l '" V .. IIJ U c,'- ccc:c~.. .. . ... II . oC ""... CI a ..... ~~~~ -=-=-=1 ..... ~~" -....1:: ~~H ~~!! i ::l ti ~ ~ ~ ~ ... ...... ~ .. ~ . .. " .... .. "'~B ~ .. ...... . "... .. .." " ..u'" .. ..... =' )C.... ...."'''' '\) (~ ll'- ~ ~ ~ ilo , ~ ~ (~ ,I <l Ii \)- ~' '" ~ ~ ~ "-..!l ~ ~' ~ V ~ r- (: ~ .-s .. . .... u .. .. ....... " ... ~"... ".. .. ~ ~ ~ .."'''' " .... ... .. "0 .. < 00;::: .. " u.... .. ~ 9 ti ..... .. .. .. .. ...." ..u ....... : ~ ~ 0> " "'<.Ie! " ~ ...~I .... . "''''0 w'w:;C 0:: :l ~ .. - :!~"'" .. " ... .. .. ... :G"! .. ! .. :l ... ~ " ~ il " ..a " ~ ~ " .: (;"" . '--'. :~::;...; . ) ) ( C. 1- 2. / \ 3. 4. 5. 6. 7. '.. PROGRAM/CONTRACT ACCOUNTABILIT"{ WORKSHEET (page 1 of 2) &...~ ~j,-, Dept/Program Name "'''1 7/ '- ~~;1;- kr:r.P nome of federa~/state/other department of agency) ~d.7/~/:J aM/Y1/~,~ federal/state/pther program title) 6"7/00/ (State contract no.) A. Agreement Identification: Fund No. /3,Eeo Fund Name Dept/Program No. cRo.'37'd'9 Revenue Code 3.8<1 Funding Source (s) -( Give (Give (Federal catalog no.) B. Agreement Period: Beginning date ~;I~~~ Original ending date d;~-4''-'' REVENUES Program/contract payments received during current yea r $ Less: Receipts for prior year expenditures _0_ __0 _ Add: Amounts billed but not received at year-end Add: Amounts expended in current year but not billed at year-end + Total revenue provided by external funding source + __ 0_ /.5 t/, doo $ /.5</, ~oo Add: Other external rf!venues: a. Program income + b. Donations, etc. + Add: Entity moneys used in the program/ contract + 8. Total program/contrart c-,J /,AA resources $..l:=. ;r, ouu EFF DATE 12-3N7 SUPERSEDF.S 11-=-j-=iI5- Extended to D. EXPENDITURES Dept/Program 1. External funding source's amount of expenditures $ J':;-~, b06 2. Add: Expenditures from local sources: a. Program income + b. Donation's, etc. + c. Entity moneys + 3. Amounts passed through to 5ubrecipients + 4. Total program/con- tract expenditures ~ 1St/., fx?() BARS liANUAL: VOL 1 PT I; ell "6 PAGE 43 BUDGET INFORMATION PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) MISCELLANEOUS FINANCIAL INFORMATION E. 1. Original award amount or contract limit $ 1St/, <::00 2. Add: Addi tions + J, Less: Dc let i on~ _ 0 - 4. Total award/ contract. amount $ IS,/- 600 5. Less: expenditures from prior year Award/contract amount available for current year Less: expenditures in current year - IS'!,,600 6. 7. 8. Unexpended at year-end $ F. 1. Program Assets . a t yea r-end Program payables a t yea r-end $~~~=~~,. 2, 3, E~<t~LI1;\ l adv.,ncf"~ oJ t y~ea r-end $___ __---= Interfund loans at year-end $ In-kind reported to grantor $ Moneys passed-through to subrecipieats $ 4. 5. 6. 7. Expenditure code(s) for pass- through moneys: 9. 113:; this unl:^pended n!:1Qunt e;<pireJ? Yes ~ '_ (Circle answer) 10. List dollars. if any. of this unexpended amount that are encumbered: 11. Is this budget for external 'funding only or does it include entity moneys budgeted for this program? External only ~ Complete program budget Questioned amount G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF TillS PROGRAM Summary of current status (attach copies of correspondence with grantors supporting disposition) 1. 2. 3, 4. H. REPORT DATA I. Prepared by: 2. Phone Numbc r: Err OATF. i2-=3f=-S7 SlJPF.RSF.DES ll-l-RT- ~'/'l~_;_~ ~s MA!i!lAL: PME 44-' VOL T PT ell -4 -(; ( ( :!: ~ a '" ~ ... N' ... " ~ .- .. ". l; .. .. ... h ~ ... .... a ~i ~ o. > ..... c'l8 .. .. .. => .. " e--: c;.. 0 ~ .. '" -I c: U t' t'o 3;", ..~ 8 ".. .. .. .... .. I .:~o :11 .:: ....::& ::U)~ ~ .... " :r ... .... ....a .. ... ~ I.oot ....... ~ .. ':0"" .. H~51 i!! .. .... '~~I~ i!l .... 1J..1 .,"'''''.. u .. ... I " .... 'Q . .. "a II U c;..e~~ .. "0"'0"''' :l '" " " u ~ > JlI: II tl .. ~ t: ~ ; ~ U 101 c.... o:c:c:.. to "'..~~ i uu... a a..... H~~ ~ ......~I ::: ~ ...... ...."~J: $5.4 ... :!!! ..... ..~... .. .. " .. ~ .. >O~B 6J'~ :: "... .. .. " .. ~u... .. ..... ::I )C.... U...'" ~ "'- Ii) " Q I:l 'll ~ ~ I 0 ,) Q 0 'Sl ~ l!! \) ~ ;".: ~ () \) ~ \.S '\ a (\:: ' .. ~ '" a ~ a \ ; 5~w >0"" ..... ..."... a.... .. > u ~ u .. ~ ,":coo .. u ...... "'0.. ~ ~~ u.~ ~ ~ 9 ~ ...... .. .. .. ~ ....~ ..u ........ .. ~ ~ ~!i " o ~~ .. u ......0 ......"" 0:: " ~ '2~"" .. 0 ... "" .:: 1 "" . : .. e ... ... c 3&0 u.. u .. ~ :J 1""'" ~~i::.";' ) ) ,0, ~I ::!: I~; !=s'l u ~~ ~ "" .. .._" "...~ ... ... ... a 0... '" ~ ,.., ~ '" .. ~~ "'.. ~ .:: ~ ~ 5 ~ .. - '" It. ii . '" 5 ~ - ...., " a ~ .. 1; '" .... ..... "">, 0.. ...... a ~~ 0.. > ~8 .. " o '" 8 .. ~ ~ ~ >-- u ~ -, c u e-t'o~1 f -< ... e DO" 0 0 :~:~ . "'... ~ u.. &t< a..., ... ... .,.coo> ~ ~ :-<-;: ~ -<0&1. '" II~ 511 - ... U)... ~ 'r:.~I: ~ ::~~: U~ ~ ",.". <0 " ..~" u - c: > " CI """ .... ClI: .. "O~u" ~ ~ u u .::.::n:: !; ~ t e ;: Col CJ c." =g:.", " .. "'&l.< uu~ ca..... II .. . II ""-Cu .:-=....~a =:~ <.." --I~ =~ec! "'''&11 ~~~~ ~ ~ l:l ti ~ Ii; ~ ~ ~ ... - - . ..., ~S: ~ ~) \'< .; ~ '" ~ " ...:: l1 " ~ ~ ~ ...;: II) r, ",' "- ~ <;, ~ - ~ ~ '\\ ~ ~ " Ii -~ ,"f- \~ 1 .~ .,~ -. ~w... ~ .. " .. ~ .. '" = . ..... """004 VI "... ~ .. " = ~..-" ~ '" w :I l<"1"4 U"'''' ~- .. w .. "'"... = '" ~ Q'r4 ".. .. " > u ~ .. " ~ """ = u ~ ~ ...O~ .. .. " ~>t u.... ., ~ ~ ~ ......f'4 k ~ .. ~ ....a ...., -...... ~ :;; ~ 0> 0 ""J! a ~ .... ~ ...., .. u . .a.... 0 ...~'" OJ :1 :: :;;-L = '" ! .. ~ '- ... " VI . . ~o: 0 0 u'" ... < 1: :1 .. .. Co. ) ) ( C. 1. 2. / \. 3. 4. 5. 6. 7. \ ''-''-;:''.'' '::,:::"'" ".~'; -.. ;..: ;< '<;"';:.:':',,' -'0"::,,";,',;", ,::,',',":;',,";.; ,..:.....'., , :-'/...,:.(; '/:~,':'>-; ,.,::. -:".:..::.', '.;,,',',:',', i","'" , ,~,,,,.:;,,, ,:. ",~.:, ;:';':>, PROGRAM/CONTRACT ACCOUNTABILITY WORKSlffiET (page 1 of 2) A. Agreement Identification: d -..- // ./ Fund No. /3300 Fund Name Q><.b''--<'-J.-, "l'\Oad~ Dept/Program No. C~CJ5"Z~ II Dept/Program Name I~.i?~- uJ/>!.P/,.; Revenue Code 833 - 05 - 61 ' ,-+--+--. Funding Source (s) //Jd.al-/-"/7~ /)p/,,?p7;,,;,,,,,;r- H --:?a7v'/',/}1'/d."x/-;K, -(Give name of ;federal/slate/other d<!partmentf of agency) ~~.e ~~~u~;;,-_, (Give federal/state/other program title) ;<'5 z... q//jl ) L./J ,:),./05 (Federal catalog no.) (State contract no.) B. Agreement Period: Beginning date /a j", Jr.'! Original ending date '117: /')'7 Extended to REVENUES D. EXPENDITURES Program/contract payments received during current year 1937 $ ..?86. 'J~1o;. 9'/ Less: Receipts for prior year expenditures C?9 t: ::;4,7;:'; Add: Amounts billed ~ut not received at year-end Add: Amounts expended in current year but not billed at year-end + Total revenue provided by external funding source Dept/Program + - 0- 1. External funding source's amount of expenditures $ /97 ';l"'7/:/6 Add: Expenditures from local sources: 8. Program income + b. Donations, etc. + /97 27/. /(.., Add: Other external r~venlles : 8. Program income b. Donations. etc. 2. + + -,/)- Add: Entity moneys used in the program/ contract + c. Entity moneys + 8. Total program/contraet resources $,J..2:2, .:Yl/./ti> 3. Amounts passed through to sub recipients + 4. Total program/con- tract expenditures /'17 d9/; It Err DATE ~3H7 SUPERSEDES ~1-85 BARS HANUP.L: VOL T PT '4 CH (; PAGE 43 E. I. BUDGET INFORMATION PROGRAM/CONTRACT ACCOUNTABILITY WORKSHEET (page 2 of 2) 2. Original award amount or contract limit $ /;? , 'IS / Add: Additions, + ::22 ;t. 8' /0 Less: Deletions 4. TOLal award/ contract amount _-=-..52..~_ $d9S ::?6/ . - 81 I> ?4.?iS $ g 2E5. 61, F. I. MISCELLANEOUS FINANCIAL INFORMATION Program Assets . a t yea r-end Program payable. a t yea r-end 5. Less: expenditures from prior year 6. Award/contract amount available for current year 7. Less: expenditures in 7. Expenditure code(s) for pass- Current year - /9'7, ::::9/. I~ through moneys: 8. Unexpended at yea r-end 9. }fa:; this un~hpeHlled <lmount e:.<.pired?~no . - (Circle answer) 10. List dollars, if any. of this unexpended amount that are encumbered: 2. 3, E".(teru) t arjv"'ncf'~ .1 t yea r-end Interfund loans a t yea r-end In-kind reported to grantor Moneys passed-through to 5ubrecipiects 4. 5. 6. ll. Is this budget for external 'funding only or does it include entity moneys budgeted for this program? External only X Complete program budget $ -~=-- ~~.'~ $--- ~ $ $ $ G. DISPOSITION OF ITEMS QUESTIONED IN PRIOR AUDITS OF THIS PROGRAM Summary of CUrrent status (attach copieG of correspondence with grantors supporting disposition) Ques tioned amount J. $ 2. $ 3. $ 4. $ H. REPORT DATA f.FF DATF. i2-=Tf=-87 SIlPF.RSf.OES lj:'j-:"'R5 I. 2. )" ' ~./; , /.I:' ~ ' Prepared by: \. A_l'l 71~.~'-'''' L/C'//,/ ?.ct'~f.L"_~ Phone Number: . r :r"h .~ =?~ _ 9/6 r,; BARS HAEJ1,\ L: VOl, -T PT CII '4 -6 PM:E -i.'4 ( ----- --- -.----- ---- ( JJ- ~:;! "- ",.... .\ U ~~ ....:z: co ~.... c c I.L,.... "' ... ~'" " 0", w ... ...> ~ '" ~ o ~_ ~ ~ u-" "'.. ... o '" : :,: '" ',:.' ~ ' , , ..' ~ ~ 5 ~ ~l ~ ~ '" ~ '" a ~ ~ [3 " f:....; -I = c.. ~ e- ~ ~, I:: c,< 10 o CJ ... '"' t.O&lO 0 4) <.., g ~ ~a.~~ q) "'" u" .e:. :<3~ tJ.Qao> ~ ,.,. 00<.... '" "... QS <e~~ e.c f'IlI S ~ 0 f-o.... 0 is .~~:~ ~... 0"1:1 _u..." ... '" ~4 > u... .... t.J .... '0 " ...~ CJ U ."", C > t.I c-....O;; ~ ";:t"":r \.,> C,' L.l c.. (J U .:: ~ t'k: ~ t t. t ;: 1,,/ I.' c.... r:="::~ ~ ~.:: < c: a 111_ I'a" l.Il" .......-c... ~ ~ c -...._ tJ ~~~l! -;;-;fi~ ......tu t.I CJ "', "''''...0 '" Ll 0 0 ....""u:z: :r. o ~ '" ~ ::! !;! ~ ~ .. ~ ~ '" ;:: '" o " ',,: ", """'" :'.:' ',', ,,',,:,' " ,.. ,', .. - "p,:',,~ ; , :', ' :,' ,:: :: ,"" " ...... ~ "'''' c ~~ ~ ;; ~ ~ ~.. '" "'" '" )fi ~ --~ ...~~ ~ ~ c ~ ... ~ ""08 ....~ e: "... ... ~ " " "'~.o ... 0. ~ = x.,.,j U"'", '3 -.., ~ "6 ","' l?:: ... ~ -- ~ ~ ~ >o,,~ " '" ..... .:;.... " ~ " " > u ... ~ ~ ..."'''' " u i't: ~ 0-.; ~ <'i .... ... ~o~ < c.o~ " " u.,.,j ... " c " ~ c ~ 0-1.... '"' ~ ...... '" ~ 0 "'u f'( (I " c, '1 "' o I) -- "'1, " ~ " 1; <> " ?t ~... ~ 1'j~~ o ~ 0 "<,l! ~ ~ .... ...... "'" o ~ ..~ " ... " ~ a o ~ > ... 0 0<> " ,~ ...... ... """ ~ u .c .... 0 ~....", o~ ~ In o " '0 'l:- '-l ~ " ~ c0 ~ ..... .. "'i t~ 0 ~o:z: '" ~ 8 ~ '" 8 e " e '- '~i ~ \.y .~ ~ " ....r It' I ~ ~ " '" 0 '" ~ 0 <u'" '" u .. ..... .."'11 1:' e .. .. ... ~ ~ (. J ~~ " ' ',,- ::",,:' :'} ,:,,".',;, .... {,..: ," ': ( )) ) ( ':", " " (,,:, \ ~;;~.., . : ',' ( C. 1. 2. (, 3. 4. 5. 6. 7. ( PROGRAM/CONTRACT ACCOUNTABILITY WORKSlffiET (page 1 of 2) Agreement Identification: /? .~ Fund No. /3.5= Fund Name ~~,..<1t ;-<:><7&<0- Dept/Program No. CRa'le&> Dept/Program Name Revenue Code 32:</ ' ".:< ..31 Funding Soarce (s) _ .a::/d4-,{~"",L;/-:~> J::;;.o-r- (Give name ocf federal/state/other ue:partment of agency) ~ ~_ . b~A;,,", -.If:plk.a-ounr (Giv~federal/state/other program title) 81?o.s ,;:J,o/tJSlJ Ai'::' - all:? (Federal catalog no.) (State contract no.) A. B. Agreement Period: Beginning date ~~a~eo Original ending date ~~4~ REVENUES Program/contract payments received during current year $ Less: Receipts for prior year expenditures Add: Amounts billed but not received at year-end + Add: Amounts expended in current year but not billed at year-end + .,;;; t9'/. 9X Total revenue provided by external funding source $ .:<-, 69:/. ?? -0 - _0_ Add: Other ey.ternal revt!'nues: a. Program income + b. Donations, etc. + Add: Entity moneys used in the programl contract + 8. Total program/contract resource. $~ ~'7<;/, ,},8 Err DATE 12:31='87 SUPERSEDES ---rr:T:as Extended to &-pI!..>U , D. EXPENDITURES Dept/Program I. External funding source's amount . of expenditures $ ,.;? ?rl~ '7'';1 2. Add: Expenditures from local sources: a. Program income + b. Donations, etc. + c. Entity moneys + 3. Amounts passed through to sub recipients + 4. Total program/con- tract expenditures ~_") tf5'7'/. :3 BARS HANUAL: VOL T PT "4 CII (; PAGE 43 ~ w ~ ffi ~ ..... ~ ... ~ ~ Q u ~ u ~.~ E Q '" ~ u Q ~ ~u.., ~ Do. = )(.... uwo Z~. ,"u.. " Do ... a '04 Q U U U > u ~ u u ~"'''' ~ u ... ~ "C. < OQ~ U .. u.". .. ~ 9 ~ .....004 ... tI : :;; ..u ~ .... N' '" .. .~ .. ~ .....,.. I~ ~ ~ ~ g ~ u ~~J ,,- > '" 0 :: '" 2! g , 'li ~ .. "'... .. .3~ ~ ::~.. ... ~I .... 8 ~ -, .... .. u u . Q",- "'_0 ... '" ~ ....."" l:l.:J cu c_ > .. w.. ~8 :l ...... .. ~ " u :3 "'- co:... -, u .. t'J~ '" Q " e-~~I "'.. ~ .... .. .. .. .... ~l' 0 .... ~~o 3 ~ . ... .. ....::& u 0 ! '" "" .."'- .:: t< X ~ '" .... .,.a .. >- ~ J-. 00'<'" ~ .. ~ 0 ".. '" ~~, ~ 1 E .~ ~CI')... ~~!'Z ! ......,Jao> "" U~ .. . ~ .,....'" If :: ...." "u is..s~~ .. 2 .. e "0"'''''' .. ::! .~.~,:t ~ tl ~ ::; B ~ .. ~ .., u (:.... " CC".. ~ ~ . ... ~~.:~ e~ '" ~ u aa.... ... ~~.;: ~ ---I :::: ~ ....... .......~: .... -1 ... ~ t .. ~~.iJ \~;: \, 'li \Jl ~- t-. '" ~ '" ~ "I- I Q I '" N r.: --S '" tl \1 l'r, ~ ", i;{ " "" ~ " 'J , .\l ~ '~ "1 1\ V' ;~ 8 '\ ~ <..., \,>:,,~, ) ) " <.., :!: c ~~ ~ ~ :: '" ~V Q ~,. ~ .. - . ..." .. y c Uk U .. , B ...u U'.,t . ".., .. .."" "VA ~ eo.: ......'" :-=:. ..u.. ".. ..,,~ au. U > u .... ...... " ... .... "0. .. . ..,. .." u~.. ~ :11 e ...~ .. ~I .: Ea ... - ~~ N' .. C ~ .....,.. u> :1~g ij;;; ~ .. ~lJ i- > c3 !~~ ... '5 ~ " .. ,3:1 " ~i _ .. 14~ .._ a a ~I ~ u . c..._ ! ~" W~] ..'" O. 0:: ..... ~a c .. U ..... ~ '" .. " ..- "',.. C) u .. :5" '" -I c: U ..~ a ~.i~1. .. .. .... ~f "VOJ 0 i .... .. . ... .. . .. 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PROGRAM/CONTRACT ACCOUNTABILITY WORKSlffiET (page 1 of 2) Agreement Identification: Fund No. 13980 Fund Name Dept/Program No. Revenue Code Funding Source (s) Brinnon Community Development Block Grant Dept/Program Name _ Department of Community Development (Give n3me uf federal/sLate/other department Community Developmest Block Grant (Give federal/state/other program title) (Federal catalog no.) B. Agreement Period: Beginning date Original ending date 1/22/85 unknown REVENUES Program/contract payments received during current year $ 163,574.17 Less: Receipts for prior year expenditures 5,202.06 Add: Amounts billed but not received at yea r-end + Add: Amounts expended in current year but not billed at year-end + Total revenue provided by external funding source $ 1,200.51 159,572.62 Add: Other external revenues: 8. Program income + b. Donations, etc. + Add: Entity moneys used in the program/ contract + 8. Total program/contract rl"SoUrccs S 159,572.62 F:FF DATF: i'27'f~87 SUPERSF:DF:S ~5 of agency) B-85-DC-53-0001-8502 (State contract no.) Extended to D. EXPENDITURES Dept/Program 1. External funding source's amount of expenditures $ 159,572.62" Add: Expenditures from local sources: a. Program income + b. Donations, etc. + 2. c. Entity moneys + 3. Amounts passed through to lubrecipicnts + 4. Total program/con- ~ 159,572 .62 t:act expenditures T BARS MANUAL: VOL J PT I; CII '6 PAGE 43 .. <." :!: c " ~Jj" ... '=5 .... => .... Q ~ '" ..... ~.... . .. c u ~ u ~.; :: c." ~ U " " ~ ..... ~ c.. .,,~ "'w", " ~.... u .. . ...... " ... ..,,~ c .. v u> u ~ .. .. ~'" '" " ... ..~ "0. <tlO~ .." U _.. .!!! ':EJ ~ ;:;; .. I ........ t< ~::g ~ u ~~.I i- > ~ '5 ?1. " ~ .. .3.. 0 .. .. a ~i ..~ 1l u . ~ ...:=.1 ~j 0.. .. ... .. " .. u .... .. ~ => .. '" ...- "':.- 0 '-1 u . ~.: '" c u .....~ ..... 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'.',.,' , ",',""'.\!l~~ .:," :,:, ,'" · JEFFERSON COUNTY, WA.'-- 2:" / / 7 ,>', , , ,,' " - Received From ,) ,(,'? ::~~" /. . ,:, ",:.", /, ":" ,:'" , ,'.. , ' ':, :: '; ; , " " ,," ", I': ",' " :'< I, ' :', '~, '", " ", I ' i;~:~ ,'.,; ".. ,,: I: ,,' I. ,: I " ,;:, '., ' , ",:C, "', ',,', , , " ", , :: ,:, '" ' " .. "..: ',.', ,", " "':'," , , . ",,";-, ' :,."::"", '..' " "" ' ':" ' , , ',", , " -',,', ", ,',' r>..'I~!jt/~' ' , , " : . , ", ,," ,', :, ,,: "'.',," " ' I ,," . ',,' , ,I" ..... L- , .',' ,: " :: .. '.", , : " ',' ,:, " , .'," "..' ','..,: .-.:' ,." : " ' ' , " " ,', "N(9 ',AC" l< ,",: .. , _ ,L.032?2 '111Go.B3 ~'01 ' ,', $ , . ,~" J032 1 5191 2/17/01 '117(;:i.B3 rl ' DOLLARS 117',5.r,3CKiL", ' 321 ~ I S4 2 (21 I 7/81,.'.~~'-.::-,-:'J };~:':U: ;,~!;~~~~;~: ( ;:;;" I ; . '. ",,, , '< ',' ',,' ", ",' ",.",:,,:: , '," -, " ' ,', ' :,',;, 19~ , " . FUND NUMBER FUND NAME j ,/ . /' , " ) ~L~.-.: f( ,~':~:"t:-Ih,.t-- ,', c. 'ii) >- " - '" c: a:: g Qj ~ u :; o c: OJ> '" 0 OJ c: OJ> '" ~Qjr= c;;:t: " Q) .!a .., :2: . , " , , , " WARRANT I ) CHECK I . ) CASH I I BY l~~~-L-'.J~ , DEPUTY TREASURER TOTAL I,' ;,; ,,-; f'~ I ,:' ", , ",'. '. , .':'",' ":."", ' " , '.',' , ",",:",," ,', ',.' ,",:';',"" ':, " ,',:' ':,', ", " c' " . "', " C'; ":':,,,:' '" ", ,,' , ,'" ,,' .':' .' " ", '," i, '.':.'" ',: ,i ". L - ~ II ,,-... , " .. ":, :':" :,:\~:~ >,;,:: ',-', :,,~,: ;" "; ."-, : "., /j}..'{~,' ::-',. 'i' i'.,': ~ I \,,': , ' _:, ' ~;. ',::-;' " , .' ","'<. ~! , ~ : ;, " :' .' ,i:, /'\ .' ."'; J;'.r: '~: l- ',' ~:,' -, -, :- ' ',~ '" :' ,,"'... -', '. ", ' .' - .' " , ' , " ...>- . FUND NUMBER FUND NAME REVENUE CODE NO, r~::... Ii ,:,-'~, h {'If ri r'I / / 19 :;;./ NO. ';'~':)f/,' .-'1-'/,,', $~1?',;',~70!00324'2 DOLLARS / :;~~' 9 J/ ~,_ :;,.) REVENUE SOURCE DESCRIPXIONI ~I 'i I I 32/'/6,'<'" i r T-']- J/: ,H' I ,?4~:JI.lJ3 ~I ;AMOUNT r ;_~!.,j.:'~ I., :JU, r ; I, '-',' c;1,>\ /:'-,'1\ '- 71/ Ii , c. 'Q) > ~ E a:: g Q3 g ~ ~ OJ 0 '" C Vl Q) .!S! Iii .= a;:S:: U Q) '" -, ~ '-?? _'1:';',"( '.-?3;) .:..7: '/' ~ ....;;""' ,') ) "/,'7:t . WARRANT I~--------'-----'----- ------ E~~~K : l BY DIpUl:Yt'~E~-S~E'R "- ----- TOTAL ~')I",'M ',<-;' L ..j' : ...J}:~ L t---- ro.... .... ~ ~....... . , . -:.. :J . . : - . , { , ' .{( , '. '~, ~ ~: ~ '. -......, " .,............ . , ' ~... , - - if . '. -.... . t ,".; ~-";.~.., . " ";C' JEFFERl'ON COUNTY. WA , Repeived From ~, '9~ ~P0 31 CJ 1 $_~I . FUND NUMBER FUND NAME DOLLARS REVENUE CODE NO, 321 5052 REY_~N\J,E,SOURCE DESCRIPTION / -" - / , Of r"1 ,./.'~ / .~, /\;... c. Ow >- u - Q) c: a: ::J ~ ~ 8 ~ o c: on Q) 0 '" c: Ul Q) ~Q;t= Qi:t: U Q) on, ~ . WARRANT ( CHECK I BY_:..... --' L t--- ~ ... .... - ~........ .. ',(I . ' . 1'- _ '.. . l. . 1<' \ } . . , :"J,,- :i ~~'. . r ;: . " . .' , ,''C.. .. - , . ' _ L...- -- WARRANT I :. ) CHECK I) CASH I I - / ' BY .L_---0,_~c________ DEPUTY TREASURER TOTAL : ,.,.,"i'" -":") Z:'j:J ~'JI d I . FUND NUMBER FUND NAME ) ; 19~ $ :'F"(_<-;~803:L''UG DOLLARS REVENUE CODE NO, JEFFERSON COUNTY, WA . i "':./', / I'JI ./;'; j. f'// ,7 /' /.1 /~.;:',,/ :.J" j 'I / /"1,0 I/U .. ,; ,,/ / , :.' ::"'1:. ~"" REVENUE SOURCE DESCRIPTION , /1, / If /',/ ",yt'/. ;,,,,,,,." (~'/t.1 i AMOUNT :::.C",:?:1- ,-'?i~' C. 'iB >- u - '" c: a: " ~ ~ 8 ~ o c: "' '" 0 '" c: "' '" .!2mt= Qj:t:: u '" .!a -, ~ f----- ----' . -- -- ---- L ..JJ' , , "J' . / . _ . I.,'." ',_ \ ' . _> .' _,". _ ' y' ) ~ c. ' . I . ~/ '."(, . I --4 . ~. ',_ r r r -, MEMO W,HEH t1,~IN ON LOG DUt1P HOAD IHON)),~I,,,I::: :::.,:.;/ ~', .-- :.-j NOT NEGOTIABLE WARRANT DATE ""HI :; 81 DETACH BEFORE DEPOSITING WARRANT TOTAL L L L INVOICE AMOUNT ;:~~j, 205. 00 ~ I I 2~\1C.I05.0() .J , ' --, -, -, .j, .-J" -;;/;.' /;--t.l/ /L t'.../ I / '7 ;/ /Z;;, .~f'''~F / / lS.J...:L NOr ')' ,. $ ,1_5:','",,;' Jb2~ 38if) 2/171 13 I DOLLARS 321 -;287 JEFFERSON COUNTY, WA Received From ,../!,1 If' . FUND REVENUE REVENUE SOURCE NUMBER FUND NAME CODE NO, DESCRIPTION AMOUNT /..?t ? t ,( ,~d ",( , .1':. ) ~!J:- :F;( c /cL~' Tlv </1, / .1--[1 J ~ ..~I ' _?~-;.f</.- )' , ---, WARRANT ( I BY 'jl _";'UJ~_,_ ______ CHECK ( I {' IT TOTAL ;1.:.>; ('<I.~ V?, CASH ( ) DEPUTY TREASURER c. .~ E ~ 5 ~ ~ u ~ o c '" '" 0 '" c '" '" .!2Q)~ Cii:l:: u '" "'-' ~ ... L.. ~ .... - ..... , ' , ,~:,' " " . - " , ". ',' " ' " ' , : ",,', ' " . " ''''~:.. WARRANT ( ) CHECK (, ~ CASH (';') BY ~---'-'~-=~_ DEPUTY TREASURER TOTAL " JEFFERSON COUNTY,WA /~ j f Received From ( -Vol/ r f.' /'~" h /u t/ I'i/ ., 1 " " ,').~ '_ 1/ '/ . 19 ':-"/ (,' -r"c~' I't.q:) 3 1 ~ 7 $ /(,. :E'I :-<.is:; ~/~5/tJl DOLLARS FUND . NUMBE , FUND NAME ( (.),,1' / /,j .-0/ 1/1' REVENUE CODE NO, REVENUE SOURCE ,- DESCRIPTION t:1'~"/tl '" S) .'.../;:.,. l' c"';;.?"::J <;/t) ~ '// .'?// c. 'w >- " - '" c: ~8~ ::l ::l o c: <Il '" 0 '" c: <Il '" oS! Q;'= -0;'1= u '" .!:a ...., ~ . L- t--- - ~ " '" ~-~, ... - --Ii " . ,. ~.~, /:? . , ~ ,: .' 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' : - ._' ' , , ,-" , ' .", ' '" . r L L- ~- ,-" r ~-- 1---" -- , :1 ;1 il ~ Address n____n_.. -- -- - --- -- ------- J J W _______________Dollars $3 .;- ;~ -;~I:~~;;2i~;C=: -_~_ --------' :j --- - ",-", --,-- --,-- --- --------- ';g -~ ACCOUNT I CA"-H ~to~r~ID I ___._ :,','~,~ A~~6~~1 I ~ I f~ .v,11 PAlO I I (HE(I< I I /" A ~ '- P"GfP';~"~~:~' .11 ~?o~~'! By c ;;3__ ,c_-V--....:.....----.~""'..........\iil~~~.- -,=~~ '1~~':: '? 'I (I i . I U I PT /7_-" 19J/_ R E eEl Dote___~_~____ - Received From_&;:;'L;~:'<_r:./L:L~-~~.------ L ''''' ~~, . r - -- ~ i f t t ~ " -, ...J .J: .-Jj'; .... -...... ~ - '. IV-. ~ ~ .'. "', .', . ~" -~ _'_. . _ "__'. _, " " ~ . ~ . '". ~ r :_ r r r L L L ~ ""'" flir-- -~~CE-'PT ._.DQ,"__i:". '~do; -Ii 82 I", , Received", Fr.o,m_""Z;,'/,_H-,~"'_' c::;..:A';":'.<'.'_-c"'",~_~- r I Address -." - -'--".'-'-.. ----.. f 1/ - -- - . -. --." ---,.-.-...,-, - --- -- - -~ ~ I"".",'.. For"..,-::'./..;c.,,&z.ZS. ___:~====--=---_.-._-- Dollars $":::- -'- . --'-~""n___- "'___"__'__~___._ ______,__ l ~~~9~'_ =r _C,^~, I,.,.. AM! PAID -J= (MlO ~ I ~ - ",".L;2 ': . H'"~~"fr'm . ~ -'-"~"-', ! BY0'L.;:.-',_ -, ". J ~~~f~~~--~:_ , . ,~ -, -, _.I ..J. .-Jj. ..... ....... ~ , , - ..." -', ","t~.'~' " J-:'~':l";"''''':'--,.' '. '.' ,'", ,~ ~ ..'~...... r r L L ~- r L -, '.. (i- I I I I "-- - -~----_."--_..- REel: 'PT _ Dote-.&:-\.L_6._______19~ Received From -t~f\N_K, 6:,Li:fuc:?D Address__ __ ,__ _ ____..____, ---6J!.t:_AND__frfJ. For____.J?C...lN:l-5. --- ------- '7'j 8" I i ~'~~ - -- ---- '-,------__Dollors $_, .I," c,o .---------. AM';;'\f(i:O~I' -~( CO.l'''~I._ ---J= ne,',~,:~'":~:;'~~-' .~~-(-- -- - --------.-;iOWPAii:i---- --------------_____._____ (A:',h 1- "1~(I.. ------..-------.---..----------- MO~l/~ - ~~~~- --I' /K -_._.__._-=-~=::..::.=::::..::::.::_- ,~Yc -.J , " .~ -, ..j, .-Jj" .... ~ -- , , . . . .:>.. ~" , , - 'It t. -. " . '" " , . r r ,., ~ r -, .j, .-Jj" I -. R ECEIPT Dote_n ./'-:;L _n_'n 19 ..I?' 71 R i) '_. -r Received From_~~_~k::.,_____ t/d/,/ c- Address_______n__ ~-- ----~------ ------ For_-,./?A0,==~-~-==--=-=~-_--Dol/ors $// .,7 I ---ACCOUN1--~- - - -- HO~;PAiD-----'---.----- A~~6J'~1 , 1 (A:'>i I -=1= -- l, Pi'l.IO I 1 .--.- AMl CIiEU.: I T --aAlAr-Kf I MONEY I I Bye~' !:,i~~ .1 - OIWff\ R(jdl~p',!' r t ;_...,....'l\illllllil~f~ . " . ~,-=~~,.--.....- _t L ..J ill L t'-- ~~ , " ~ ~ -- r r L L L- "'-- ~- \ ','--....- ___u ---"---- ~.?'1 [j L ..,-- '\---R E eEl P T ,D, a, te, ...3.L/~'-:'_~ / -;- 19 2/ __ / ) i i /.! ,,. , ' J,t. ~ (..;U<- (''''ft"d',if, Received From ,_"..YJ'<Lc,:e,'-/s;,--,-y'~l"------'-~' Dollars $.5""- ;::~3=-=~~~=-==: --~~-- --- P(!d,f,9fn:' By1!,]' -2. ~,>w.P'~' - -, -, ~ t I' ~ r, t ~ f ~ f .J ..J' ..J. L L I -, r -, c :~ '.:,','.,'~.,l " :~ I "','1, ;~ ~ I , 1 L....-" ~ ~~. [: l r RECEIPT Date Received From '~---'~}L.r1 Address 19 2i1 01336 /r-r;-;;~ v..Ja-...U_, ~- Dollars $ /{):- r""l " . Fa'r=::.2 -/ -1 ,rc, , ",~ ~I ~ c..J _.c ) By ".c-i,) ,L..q..._~_;;J Redl~prt!l IL ..J .j, .-Jj., , " I " ,..;-.!, -J~ 1_-', ~ . -- -,., ~ . - ..:l' ; (~:. ~ ';" . L L L t--- r rr- . _u ~. I' RECEIPT DOle___:=;j" _19 -1/"_ 7'j 8:; i: ,I Received FI'om--:::~,{ .co::'__'-}/::'~_2<,,~ rv'J?'S' r 1I111 Address__,____,__.. -- .. - -- --------- ---_____ jf",...,,',."'., Fo'L;;-';:,,::;:~~::.: _~ ~;:;;,;:::::-- 00110" $2' d . II .. '" ~:..'m~6i -- !. , , P'd"?'~~, " _..., """"~ ' ~ .~_it~~~_=~..~;:. "..."" . J -, -I ~ -, ..J .-Jj'i .... ~ ~....... . ....,.,. .' ~ ,--- ....~ \ '; :::.' - - (t, ... .....',' '. ,': ~ '. .~ .~ " :i!o . ':: _ . r r L L --- r L ,-n ,.- -, xii ~( ::,g .,~ I \1 \J 'i " .l.---..-----_-=:::-.::::-:.~ --.---.------" RECEIPT _ -_ . Dote--ZL~ :!-.-"'./ ':: 1 0'. 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I --, .J; ..J' :, _ ' :, p, . -,~ '" ~.._., ',' ',',.: ,~/-<.;'T, ~" ,-,:..,' .' ' . :. --- ,.--:' ':,', t,' ,Iv _~ '~ r r L L r IL r 1 ~ REECE' Dale . ,? /-;7,<'/ '-'(L1:1 r Received From-<:~::c__<-::(:~r~:_2.--6; ;..--_._19~~ . I :J Address ------c~-2'<2.5L'::~2S For/::>.'/,/; /~. ~\0IJl1="~~"T~;;:;2"'=' 'j- .,,:.':,l_I:~L)," !--l (:"'f(-~,-----'---}--r-- -- 1<"1........;1 -.i-----f-.~-.--...--- Ill!! I. ,....i)"'./" - -------,-_ ---.:. --, - ---'-.-. J..__n._. ;)~rlrii R.,,,<>,," -__---__.1 ___1 .__~y --------.-.--. /) 6 ~DO"O,,$-~" ] -- --, I I I f I ! ..J - -, ..J: J. . " ,,; r .-.:...;..::...... - ,'~,.~'~'~,' ;-' . ,. ""'" '. . ,: , -.- "', ,', ",,' .'. . ,~ r r ~ L L r --, ,":;~'t':1X;'P/t}f:/!;'~?7~~~,!;::~~~~~;:1~:~~;;~:7\,m2f';~~~~W'0m{f~~m~~~~!\~a\~f;~~;J~~~~~" R E eEl P T Date Received FroOl.._,.<:'f.'IjL,E" Address """- F~;.oP:;~; ICy' _fE....~_.l..."\.. 19B [ _ 7416 T:l/~~_n.'_. ,.. Dollars $.-..1 dc> \, ",:;i''i''''::T" '..',::::-. H~r.'.'r.~.'7.. ,0 ',." ",;" I~~-=F~J.:;\::~".'., t--~.~j~=-tBY P.",.l,,"'" -1-.... / I, .is,, '~__~~~~~li~~'ii:~" IL .J ~ , .J: J" ~ ~ -- f . _ .. '. -".:, ' - ,,' ': ' _ -. '..~. . /&,.- ,~ . , , .', ' ,'.,- r r L t- r RECEIPT Received From Address /, Date --__ :;-?~.:.Z____ 19 _/'/ 7/J~7 ' t I '--'--.-..-...-..-.--- For,-,,".:'--:-:::;"~' --:.~:~.;r:::: --....., . Dollors $_-:?:. --FE ,HmV'"Mc,g''''' -;.:.;.~.~t(OU.N' -1,1__ CA~;N ~- ______ ..",.,..l..P:.,."... ..1 ...!,~, _.~_ "p"",,"'!~':,7". '-..~r= :~;;::,~I;c....L-'~!__~y ~~' -:] --......-- .-.---.--- -~.- L ... ... --, I I f , I .J -, , ..J: J'" ... - -..... ~ f -'. '. '/' '- . , . I J / ' w . .' < 'r'. .~ ~ . . . 1 . , '. .f .! :1 ' <. ~ r .' 1 _~. .... _.~ I ~ L f r r Ii! r 7418 R E C E I P T Dale_ &0___LCZ'., 19_BL Received From___.i30~,\<.l?,"'l,.....b?J:l ,.---,.---.-. Addr~ss a.' _... l:.LiI..E::.. /1 NO . /()Q For, ' YR...IJVT...~:; ____ Dollars $ ,.. . ~- ., .,~.,- .--.... 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I For ~2t~~."pl0.;~.:---~~~--==-=-;:;.==~~II~-rs $ 5~ I _-----..-- - ..---.:..". -- ---- ':..f.:'-J?'~,____ -----.----. '-'--"'-~-----'--______'_'__. LI--"'" 0;" 'r-=T=O'" , lli_"':""':'"Wh''' --- _ ~(OUNl ___ 1__, 511 I ~\r rA n J (~l n -I l - ~'i\"'(' -~__L_--M(~!'-_ ----1- - '<Htl.fY'f!1 )1.;1 - __ j _ I~II~. _ _,; By:?~_~_ -'-:3 -,---- - -- - -7 ~~-,.,t~~ ~ _~ ___ --, -.J -, , ~, ..J" , " ' ',' -""". '''. , ' . ~;'~, '." : '.' - I' ',' ~.. r r r ,. ! RECEIPT Date_ _ 2-L:5 19 J''l 7423 ~ -g"_Z?_~~'.~-,~,~~~_.~.___--==-_~ Received From__ Address,_.~_.. . ...._.._.___. .....__'_..~______ ~~.r~i?,f~/~rTo,v/Z..'~~~=-~:~==~~:.==~=.~~~26 ~1t~T;JI:j~>"~~~;:/A .. - .... I,,' '-t.__ , ::::L"'!!P..j''':'_L _..t .'~.cn ." .n. '_.__._ -~~~-- - _~i':\,.~t'"~"~~.."i;:~'~'<":I,','''J''i',"'''-'' :$'''~'''''i,."_. ; L L L .......- ~ , --, i ! i r f I ! -.J ..J: J'! ~ ~--"'II ~ , ^.:;- ,. '. '" c: ", '. : " , .;. ~r':', .- ' _"'.,' "~-,,,.:, . , '~Y-, ',' /. . . r r IL .....- r {I " ,;J A ;j i~~ :f ~ ~ ,j :01 1 J RECEIPT .___19.~ 7424 Date__. Received From Address --------_.,--~-._-_._._- .-..--.-----------,-.-_____ Dollars $ For. on .':,' .c,:, .' ';:;.~~.~~. --t-----=~~=---~~~.~.------~-=::J- .. ------ L ---------......----------, I __=i~ ~ =c:cc,=:o,,~,,=,=:=.::-:c:cc,=:==:==- i l P()d1(9'~ .:~I~'?1iiitl&~~~~~~~~~, .. .... --, f [ ~ ~ r t r f -.J ~ , .J.' .-JJ. ~ - ....... ~ . - - ,... ~ .> IIr' , '. ~ . - '--" . '. . ~ ~. . ~ r r r I- I I I l. R E eEl P T Date.__E E: ,"', -k.'i_ 19....B.L_ Received FromJ?I.j:L~,.D-Y:-A,--\I'bw.c__.Mo~ Address____._..."""n...__ --..------...-.- ___._,___ ,:ill ~qcJ:'d_2QG,.._.._=_~=:.:.,==.c.___ Dollars $-.L For.._~R,..1l\.J.I~.__,____..__________._.. ,- A ')5 ( .~ L.. -- "",,",." .. '"..'''''I~~ ....- .-- ---- _A~~i),g~_ -r- (A~H __ _ .. ___. __ _ ___._ _ _. ol.....r P....,D (IO'n L--.-' -... -'. - .. --- "--I BAtANll ""UNO "" I. "''" R By . .[ K, __ _ > :::J I7Q,jl~~"'~ ~'I.lll:ll'~~-"""~~'J IL L L ~- ~" " .. ... ., , --, .J .=J,' .-Jj,' .... ....-..... ~ _" .,' . ~..~ ,..,'. r ,. ..... . ". .' .' . ~, ' .' . \ " '- r r ~ L L r IL --, ') I , ~ . 7~~h RECEIPT Da7'.'J:-ti.._-4-~19E/ _ 4Gu Received From_~_____4p-"'--_r.d!//.7. ~~kL.-_.-.__ Address.___._' ~ f..:..~?"'~";--. .a",,~--~;. _:~.- '.=--===.Dollars $/C<~ For. -_!-."'7:~. --.. -_.______ ~f'~;~r~~ ~,:" rlOW"A,D __ -_ ._~ ~~-~ .~~-=________ l~~;~~~~~C~t=J]~~---~ ~J .. By =/://c_'~'~~~__---J P+:,(1Ifpf<1.' ..J - ~ ..j, J' - . ~ " I. " _ ' .' " , --- " -,>;;;"......' , " --, \.J I ,~, :,'"L~' /~_,:j;> ',.,' ',:c'~; C\""';;'f[',:'..," ',', ',: ":i ~ :, _':' -, ,~, . " '''0 "'-, .",.,-', ',',' : ::,)~'/:i/:,:,;:'~' ,-',:",;:,--""-,,,,,, --::" <[7'. , ,,,,' '..::::."~~,. ,,/?-__:<':O-,' ';1:',:,":"';- , ':~'\;~~~)~~':~; ",' ,':,'-:"":';"-",' '-:".. ,,:::::~,', : :',> ::,.,,:"::':__:,,':,_:-,,: ,.,"':'" :'f,..-",:,:-: '.'''.' 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'::",: ,::'- ' ..,,,','. :", :,: ;:,-':~::~iJ,;':\;:~~~!f~~~rE.t~~~~1;2~{~~~~:~~~!:~;~~r~~xt~t?;::rx~,it:t!r;);~~:~:2.~1::~{0:r: :~;:>~~~t~,:_:~:::',/;r'Y;:t~Tt:::~~?~?r~~;5l'~. '~S(1 // / ~,' Jl;~N COUNTY, WA ,,{5~/~'" ,': / Rece, 'cu From C~(NI ),1 ( "'/' rr \-'" r ' ~r:;;l'~~~?;~' -::'\$~?5(;~rtlPi.:rtf'~~~~.t1~,:~~~.~r:~~''t'~:;<8,f:.'!~.~~~;:~?:{~~~~~~W;:,:';'" '. 19 ;.J;I NO, $.23. S"??Cf"O 0 3 5 R 5 DOLLARS ,,,,,,.,,. "'i; ., REVf;NUE/SOl,li;lCE/. DEseR PTION' , 0:';'13"IC (;2 ..., 17 ..--,. . - , 3 .-?9 /,,_, <"77}??a7,^h;,,_ ,,6, ~ v~) , ; 339.332/J raI"A."(M-/"'/ '; 39.s-y_ofJ9/'-)/1 j~5'la:" REVENUE CODE NO, FUND NUMBER FUND NAME l/t,:/t ~~~ j )' 'fi.r"i6@T1 ", . J I ", I J I , ?.96 <"/7 1//1/;-"- 77 J,'? /7'3.;::>. '7 .-l.//-'fJ O/J ." '," f c. '8 ~ OJ " a:: 0 ~ g ~ ~ OJ 0 '" c: '" OJ ~Q)~ -.;:::: u OJ ,~ ...., :2: _939/C7 00 jp)! i I' (;;;""'''Lb "'I' :':''':,,) ,'" ' ::>,'-'-': ;~: :.;", { . , " "j;'./ j ../.,/ IB_Y DEPUTY -:;:r~ASUR~:./ WARRANT ( L--Y' CHECK I) CASH (I TOTAL .~2"" _->,;:>Q /?<,' ';,,: ;:' " ~,- , '." . ',';" ~i' :': ' . ' 'f ..... . r""'" '.' I . , I I I ~ -)~- J~FF[;'i(SON COUNTY, WA;t(),'d ,,,,./,, /;- Received From {;'")0',1 '- ;; 19 J'/ NO, ~j: 7.J-/,-~'~ GO ~3~~ e.3 -ii 17/ ~ I DOLLARS',' I ~,I,:: J l.L1tJ! .Sd I J/'] i . ~jd I d?:J I.. !;13CK r:..i 917/[" . FUND REVENUE REVENUE SOURCE NUMBER FUND NAME CODE NO, DESCRIPTION AMOUNT /0 ,'. rl.. ~" C,' .;.~ t~ (,(: ..../.. ...-'-?~_/ /[ ;;5/ ,,-F ojl J :'. -- 1--, --. ,/ - WARRANT (" J , ,- CHECK ( ) BY .. .:...!.Ll.L!,~...L2'..'-:"".__.___ TOTAL 5.t' CASH ( ) DEPUTY TREASURER /I//S/ c. 'w >- u - Q) c: cr ::> ~ ~ 8 ~ o c: <n Q) 0 '" c: <n Q) 12w": (jj:J:: U Q) .sa -, ::ii . '. ........- ~ ~~ f. ,~..~ 7(l .',:.''''1 -".\ '...':'",\ ,,;<:,; ~,. .;' .,. ';: :~'~,:? ;;:;:~:~ r . ; , 'c. ",' ~i,~ r ;;:;::',',:",~" "<i' , ..',,' i~' .";:i;~ "'.~:: ., ;\' .=JV,::,',:,~ ..J;' .... -- .... -.... , " f> ". ' - '. .. .' .' v:O '- . .' "'..' . ~ , '_ I, ;.: .~;/~ ./l. ~:; /.,(.. (~ ./ 19 ?/ JEFFERSON COUNTY, WA Received From / ' . i'r /. NO, $ /,f' -:.,1 ~'~~. /,_ -if CJ --3 i.y U.:.. /'; ') ---~ I .-',4 ~ ( / '7 Ii:.,;,"; _; . DOLLARS :::C'[ "'" .. 'J ,';1 [; I i:;,:'I,. ,:~.ii ,rl FUND REVENUE REVENUE.SOURCE '. Ii ;~i~' I \J I NUMBER FUND NAME CODE NO. DESCRIPTION AMOUNT (/) , , .,.~,','~:-: /' '-~' / >' 'jj -":.1,':2..."1-,-:;";:..!.:'"1,",' F j I'Y--'l</)~I /. ;:> ~"//'h' ,/ . .' WARRANT I ) 'j ,:/ . CHECK ( ) BY---l..__~' , TOTAL I,,:' CASH I I DEPUTY TREASURER I" .'.:.... 15. 'S >- u - OJ <: a: 5 QJ ~ u ::; o <: on OJ 0 '" <: '" OJ ~ Qi ~ a:;:e U Q) on -, ~ .. .;';....'~~~~~~~~J, L ~- ~ , ~ - ...... ..J,;, """,,', (:("t ... ... ........... JEFFERSON COUNT'.", VvA _ ),) 'v,. "/I ~__ ':;>1 /'1 'rJ _ I " ....1111)1 (' /1 ))IIII')I-:r~: ') I 19 K''j ..,/' ~;-'".-;.JJ?:-l')J \' $ !.. 7-'--' l.." j " u LJ DOLLARS i)7. ;n:J :~ L .. . FUND REVENUE REVENUE'SOURCEI' ! .: 1. /:; i NUMBER FUND NAME CODE NO, DESCRIPTION AMOUNT;; r ( 1 / ~., ,/ 1C r,7~c'..' " y? '-' I ') " / /''l(1 d ,.I ,f' /::: y? y-/ " /,-'~ )/'1 -''':-- /:J;7 7/; ! I /; / -- t- . ------ -- . -- -------. - WARRANT I ) --.----------'----/-- . / , j ,// CHECK ( -') BY 6EPUTYT~~~l.J~E~/.'--'h-' TOTAL / CASH II. ~) 7'7 b c. 'Q) >- ~ E a: 5 Qj ~ u :; o c '" '" 0 '" ~ ~ ~ a;:!:: " '" .!a -, :2 . , '" ..0.,,-,,: , . - , " -' '. " nO ", ' , ~,," . -~'.- - . _" . ~_ r --, , r , r --, ~ 1.l! i..i 1. (J 0 rj U ~,S (; 4.ll G .~. () 0 1, U 0 2, () (; .:'. (; G ( ';.l' C ;, u G ').\,) ,; .1, (I () I .. 7 S 1 ( /,,/', k 1 .t. ~ U 1, U U , .t \,", 1..) "J,t) ( I \ '.~, t, , ...'1 'I 1, I, i ( ~ IL ~ L ..j, L J., - ~ . J . '. 'r-I t~ ~ - .!...~. ~ . 1 ' ' , ' , n' " , '. c. .' .. 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'~:_-:!',; i ,,",., i,,~ , ",I ;:, ~_;:: ';'" ,lc::~\\,':<" 'i';, . "\'~; ", ,:'-,>'), " :::, ~ .,: ' .- '::';'}, ',,'-:':':',; ''''-'::-,:;,>'\ .'-: '<.,; ",;: -, .~ 11,;,< ' f JEFFERSON GOUNT'f, WA iJ. ,;) ), 19~- ,,[ /, / / , " NO" 'J'), 'c Ud3 ,..):J"t ]21 3.:J. 7") I/! .vj '; I .U,j II I, I .. :.;:-"c;( r ~j : '1/ "'I! $ /~// DOLLARS Received From / , , " ;11 ';1 ,. I q~ 7') i . E. 'iii >- u E " a: '" 0 '" gJU ~ 0 c " 0 '" c '" " '" :;; ~ ~~ u '" .~ -, ~ . FUND REVENUE REVENUE SOURCE NUMBER FUND NAME CODE NO, DESCRIPTION AMOUNT -/( ,,,(t: .. .' " / I I ,. ---,', " , " " ~.' "'.>/' .r')'i' t ,; /' /;//.,' -'_,:.--- I) ,/'/ ,', .' , . WARRANT I I // CHECK I I BY _L___-:.._~_---:-___~____~ TOTAL ..../ / < .' CASH I I DEPUTY TREASURER , ",",; .:,,.\} :"; ',<~, ' "~."J . ~:.::"",p iii :~ "",,-,', \1.';'" ',,',',' l,y'< -, I: , :' ',~ ',,,,.; ';', ,'.-/, ",,1',' ':", 0 ' - , ' ," .: ' - ' ;- _ _ .;:'. <~.r;" . . , ~ '. , . . ~/ j~ I,. ~ _ r - r , r -, J. 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For, ..--___.DolJars $3";Y- ~/~ IL -.J L L - , ..j, _J} '.- c'" I" '.'. I :' ',' ..'., ," '. :" .' " ,', , ',,"', , .. , .' ,'.. ~' , ,,'.' '.' , " ....- , " '" ':: ,,':,.:' , '.. , " " ..: ",,' " ,,; - ' T , " '" ' , ~, '~."..., ,r ,':' ;' ",.' :, " : :, ',''', .':-: :', ' ,',' " ' ..', ',,' " .,.' , , '''::;\j~ JEFFERSON COUNTYr-,WA ~II>'''-.L-!>~ 19~ '," Received From (~, /, /-. ~ >... @J'.." / / , '. NO, $ /, ~39yb003042 DOLLARS FUND NUMBER FUND NAME lit! rl,j /- ./ " REVENUE REVENUE SOURCE CODE NO, DESCRIPTION <?:3 9 /4.Pi.1~/m.h. 1. ,t:::;,"/b, laW ",' .~I~~"~ :i;:Jft~:; " : "', , > ',' '; ,'.""'" . " 'i , . " '. ... " :', ,',', '. '..' ;'" " 'i':' '" ',. . , .'.: .- ,: ' '~'<';, ,'~: c. 'w > u - '" c: ~8~ " " o c: '" '" 0 '" c: <Il (l) !!;!dit= 'Q;:t:: u '" .~ .., :1: .. '.. : i:;" '",' " ir~;~c~:",; I:j . 1,:;:.<, '. ... I> "",:' I:' i. ,i'n;,;::"~:\> ",' I: ' ".::;::~:::~>::,,: , " " . ' ~' ,," " ,-- I" t ~':'"'' :": , ',. ,: " ,', ","" " ".. " 7~r BY. dL~ LfiEZ.--- '6ElPUIY TREASUI1ER WARRANT (L-r' CHECK ~ CASH (I I: \: ': " .'1 -'::,,, .- ..... - ' .- , ," II" , ,:' ",: ,:' ",', :" " : -.,','., , ,'<,...', ,".'". " ,', , " ,,' , " ',::':' , " ': , '" :':', ' , '.', '," """,.. ',,:', :' ~t "':"',:"" ',',", ",: ,':, ,. ,',',,',',"..,'.' ',,: ," .',' ' :, :', ",::' :.-,:, /. t.3;? 7h ;, ' , , ' ',-,:' '... ..,' ,,:,: " ',' , '.." , , ,':'co :; ,,' ", " , ' , ',' ',,' :' ,,',:: , ,',,"::,', " ,: "'" ,,:.,'.", :: ....~' .' ' '," :':' ,.,', ' , 'i:, '" < , AMOUNT' TOTAL /; '{"3f 7.6 --, ':,: '.: ',.. , ,',',': , :.",'" , ",:'.,; , , ' " , ".. ,', ",' , ~ , ", ,'.' '..... JEFFERSON COUNTY.,WA -9 '-'f '~"'-I ~/., Received From .:- -('/r)k) /)f!").,,~:,, ,7,'" \ /"/ 19..lL.. NO $33,,22-'/3/. 003043 DOLLARS 321 "692 6 ACI: 332;~4.56 ~H~ l/J~/GO 3~)22il.56 rl 3J224.56rKl0 . - FUND REVENUE RE'i'I~Nl;)E'SOURCE " 1/16/80 NUMBER - FUND NAME CODE NO, DESCRIPTION AMOUNT / L,,/; , I ........--"., / '.-,el ;:;:;;,/ %:-e/' - , ) 33 .~:., ':'''0' /a. Y 3~j .:z"'f/ .5-/. //' -- - -- 1---,- --"- .--- - WARRANT ( I ,.-\--;-- / CHECK ( I .!.. ,. / B~ -/J_-(-~,<:.4...../" r <_'--_.__ TOTAL CASH ( ) DEPUTY TREASURER 3::1 _-~:1~ '.."'>?:. c. .~ E a: ::J ~ g: 8 ~ o c '" <V 0 '" c '" <V .!BCD": f1~ "'-' ~ . ~ ... - -~ 'i.':','/,',<":"""::'" ',:,:':":" ~,-",:',"..>'/;:":::':'> "'mJ,....',,.. ,;;;-~,: '::\C,:': '.-:;.."";.,, > ';;". ,.-'.'.";':: :':',,:-'> /.., ":'~"""""" ~',_ ,',':',n: \,:' "',', :';', "<'.',:;',,--:.'\ ': " ,',J ,~,~ 't, " ., ,:' ,.: " . ,J ~'/:-: ,~-: ';,.,a' .,<,;':" :~'.:~ ~- t,",:' ,~,<;: . " i:'~~' ',', I ',';' :~^. " ;:::.-.;,.,;,. '::::,,~>< /',:" , " .--:""" ". ;,,~ '.",""', ,~. ; ':.'J ",';".', ".,'."";'.' ';";">:;.':; ',J',',""':' ',:",.-/:,",--.: ';" ,L .~" . ;..',::-." , ", "', '>");>":;":'--') \'-','.'. : ..;~ ::,; ,,::: .:.' " . ~," '. .', ,,'.' "--', ,.\' ,\, ::~ ",,,,",ON COUN", WA ~~.. 'f/ )? Received From --.a" 7 c (' " 19 ~/ $~A903056 DOLLARS 1/1,,/80 (,40.00 6/,0.00 ;'.;::,:'.':;,:-",,'>--- .~..,>': " ,'. ",;':';:i<?'j)';":' <i :~ " ~,~' ";"",'/ . FUND NUMBER : "'~~ c. Om ~ " c '" ::> a: 0 Q; ~ u :s o c VI '" 0 '" c '" '" 12 Q; ~ 0;'1:: " '" "'--, ~ ""';,'-;,',/':: ;"':,:;)'}iJ\.L>.;:,:<:' ',0;. . . ",,:,.,_..,H ,:::;"..' 1'.'<., ','-;', I~, ' . '.i'".....;., , ,. v';_, ',c,:"- WARRANT I ~ CHECK (I CASH () ;." '.1:)"", ". ;'f'; '. . "!\,~i;~:S';:'::' ",,' , '.",;\..\ ,';" ,,: ,', :", '::)i:}:q>:' ',.' "',,',.";, ( ,; ,''''. ~;' ;':' ;:;';I~,{.,.\.:~::, ,};(\~\;;{::'. " :':'\(:;'~:,:',...:..,,;':\;'i;::i <.,1.''-,'''', "', ';~":<' I.... ......- 6 rJ . ~,Ul... Arvi6LfNfO ,Sfl::>cd 2ft' cJ .L ...:.~ ~ , , ~ ..' '. . ' . " - , ' " _' '\ 0 , -. ~- ,;, . ) JEFFERSON COUNTY. WA ,u~...--'. ;: C(,,, ' Received From ;' j .- I -"." 19..c:..L NO l!03124 $ DOLLARS . ., FUND REVENUE RE'ii'ENue:SOURCEI E I 1'..::'/.41 r NUMBER FUND NAME CODE NO, DESCRIPTION AMdUNT'( r : >;, /'.';/ -- " " '/; ,'.. C I'e.., ",,1 ,( , '.:;, ~,' /1 .:. .. ,'" d ,:.-;__ ' 'I, I --- --, - '-- I-- L-.-. WARRANT! ) CHECK I. ) BY " " . TOTAL CASH I ) DEPUTY Tec \<:" ":'CD I, r)7. /.j I a. .~ E cr ::> ~ ~ 8 ~ o c V> '" 0 '" c "' '" 12 a:; ..= 0;'1:: " '" VI-, ~ . '1-"1"', ~- "r:li L -- 061 AU:!IIH1! Nil. 4813895-3 ~11{llJlll - -- -1-"'- -1'0'57";-41"- I I I NQ.71252782 .00 1,457.41 ;~-Ou; -Ref~ N~),-;-;-a-rldt); addressed Illv()lce/Ol(h~r IdnrltdicOlliOIl 1"2-2-2-8-0----- -,",-,--' --, RfFUNDCREDITBALANCE lJlSCIlIlll1 ----~-o-a- I I I I I I ,. ! [i __~~--.L_ Remittance Advice flit,,)>,! Dpl<li,li IlI.'l'Jfi' Ut'PII,)ITllilj 1':Il'C' I I i T~:Tal$ ,_ ~_ _~ '_":-_~,7..~.~ J. ._,_,. Inqllll,lls regarrlln~lltllS check should refef 10 to PO, 80": S, Concord. CA 94524 ,j~f-I",~~I'II'-l r~ II!J~ /.1 ~ , ," ,," , " ,',',,' .. I:': '.'> ' :' '.,',: J, ,~," " ,,' "', I:, "., '" ,', ",..,.",".,," ",r ':;,:, , : ,", ',.' "::",,, , ',,',,",' ' , ",," '. , '" ,,', ,:,.' ',' ',,', ,"', ' ", : '. ," " '.. " : " .: ,:,: " ,:,,: ;. ,}:"':, ,: : ' ,':,".' , , : '," '" '.,'" ~::., >' .,,"', , Ii,':, I.' "', .'. :' :. ;' " , " " " ',,. , ; ':" ': , .'.'",',' " , , i , , ~'.'.; ',,' . ~ ,J, " ' ~ :: ':', -, " ,'.', :..,: , ,,', ,',',". ," .,' '. ':, ,.<, ,,' , '".' ,,' ,: ,,' .'.'""',.,,,""." , " ';" :~ ~,>(;' , ',,',' ,,:' " ..,' ':' " " "',,, : ',," ". ;, ': ,. :', " ':'. ! ",""," "" ,',.' ", , ;" .' ,', '.' "":";':'" , ..',. "', , ';, ',';, ',,' " ',' '",' ': " , /' ,", , '., ' '. . ./ , ",', ,"", " ,',', ," " ,:'::" ':.,.' ,: , ", """'. ': , ',' ,.':':, ,..' , '. ,:" ,',,' : ",,'; ',,'.' ...',' ..'." '", ...J ,'.."",.".','.',,' , ,:' \,:, '.'.., "'" ' , : " {/J ,., , JEFFERSON COU!"JY,..WA . A'/2.1<I" /0 Received From C.J ,(: t:~r..-,,'1' .- .' {/ ./1"./ i 19 .i/ , NP'I ,:" 'dl.,1 I $1:(,<', ~c' D0351.3 DOLLARS ' I .' , , ;,: REVENUE REVENUE SOURCE CODE NO, DESCRIPTION AMOUNT ,,5' f/ / of 0' x:l,,:, ",'/):;!.r.../!..<J ;.:,;; ,::{ C (J ,I FUND NUMBER FUND NAME /') , (Ii ,k<-.<( -::/....-t., ,: ' . " ..' c. Oijj > " - '" c '; 8 ~ :J ::> o c V> '" 0 '" c V> '" .!9 Q; .= 0;'1:: " '" V> --, ~ ----' . ----. 6~ECK ( I 1'1 'I ) . B Y ._~:-~j!.~t{J_'__~~'~'/ DEPUTY TREASURER TOTAL /;' ,) ,'teJ "',' i ".' ",' I ~ " ' ." , , " " ..' , " .",' .. ' I, ':<, "",," ii ,,". " I Ii'.,', \'_ ";;X:~:~, '. . . I",,> " L' I' . "',:' ,,' · ' , ,,'" ... "", ,;,~'r :< : ',,' ,: .' ' . ':," . ',', , ,:, ti' '::," I",,' ~' t ....... " ,'. '. :C'. , 'ii'" " '::;,:y, " :,::/';; ". .. '..J - , - ~. . .' .. ,.4' " " _ f, - l ~ l> _ . } >r-r 1"- ... ___ r -, r -, r --, ~ 5, () 0 ,', CO ,UJ C ~,? (j 1. (J 0 ll. CO ti () 0 J, () C 1. () C 1. (j G 1,5 0 4 ;, U 0 ::>. U (J ~~, C C 2. u 0 1 j, C lj 1. C- ,'. \ C l. I, II ".\ l..- ,j, ~) 1 (i L (i C . 'C..l l-, c.I_, l.. ,_ \ L \. l I, I l). L .J L .J~ ~ ..JJ" .... -- --..... " , " ' . , ,', ", - '.' . -, _ '; -, . " _ ,'" ",' ,.' ". , 'i . , ' r r L L L- ......- r I r ;'!1 il :1 .~ ) ;,1 '~~ 3 '-rJ RECEIPT <3 5/ 19 /'/ '. ~7.,<~ // - ~,~~11 5 Date Received From_'~,~~>::. (/. Address__________ __ -------_.~,~------ --- ,Dollars $ :S For__:;' / "':/.2__ '___..______ f l ;'~""""""""""""--;-"""'-,--.--,----..,' ,il1.~li'-.-~i I L By_ ,~4 R('d.fp,n.., -, -, -, .J .L. - ........ ... , '. ,'. ",,', Ll " , " ," -~ -:--' ,,' ;, ,:"'. ' ~':..- r , r -, r -, i :&~~~~!I1lf&<!.~{~li!I,!!~!l1I:;~~1~~~": RECEIPT "Dote ._~~'-____,__19 ,r/ d,,- /: ,./(.c4"..~/_~-2_ '~~ ~; '1 f3 ~~ ~ .~ ! .~ \ \ Received From.. Addres, -_.__._-----~.._._---- ,,___ Dollors $ ;:?-~. FOI ...-......-: /. /,-' ,/ -_._--~---,------ '" "".'-'~).''-'',.'','".',-,-,.'-.1.-. H",)."'"PI'"I".~, ,..."... ,::"";~" \.. ,.J ..,-"" '{_::' ... ; .",,' r,\.:' ; t,{(t Ii '''''''' ..", ' ~:,,:,; , ,-' \--- Br ~,". ~ "';!.. _._,L.".',!~_\:~_". .. ..,\.- "Y.... . -~'7-::----_.- L -.J L... Q;J L ...J. ......- ~ ~ -....... .' . , . , \.)":: r . . ~ - o' ~ <# , . r 0 , , ' . r r L ~ > ~ r ] ::) ii ,~1 II j 11 {,j ..~ RECEIPT Datc-:'~~':'__,19~ :-;:';1 '7 Received From---!'..~____~_.j~_,___._,___ Address___, _______ __ ______.._____________ -------,---..-----_Dollar5 $ ~ - I t r I I 1 l f l - ,,"' o~"",,-- - ~-~r-"o ~ -- -- -- -- ---- ------ ~~i:;~ j- __ ~&~~~--;~- _B~---- -- - --------- -- fl,,;: ~P"~1 _"____ -~~m.f~~_ L -, ~ ~ -, .~r .-J" ... ___ _-...lIII , " ,-' , " ! , " ~. " " ' , ' , N . , 0 _ ! . . . , r r ~ L L r ','i r T~ ) ;:~ ';,1 ''I \~ ,~ i; ':; I ,~ I '~I '.~ I I \.. For, / '.J:!:. t"_,,,,(" r ~ i t ~' i I .~j! RECEIPT ~ / /' ~:;5'1 a Dote_---.::,~:::______19 j,' , _ Received From__.~~:::~_,_~;" _::.-~::".:.:..::_~.___"~.,_.______,___ Address." "_. ___,_ Dollars $ ,c;:g . ';;;''-Ol'Nlfj''''%' H<')\"r~iD--- __"m -~.:;;r0l -- - R:,OUNT I (A:>f; _ -,,;; ;.:" ~,.-,--',.-. '1--, -. '~:;:~~:~,--. "':1-, .8, t, ",_ ,",:,~,.,~t m, :,_", Y ':;~~~i~~i~~~~IWD~~4ii'~~~t~';~~l'~,~'t~tg~~~~~, r/";,-,~,, '" L -, ..J ~, ..J., r r I ~ r -, RECEIPT ~ t ,; I I I '~,1 :~- -f 0 {~ld I \.1 -'---.-.------- ----- -.-----.-"-------- For ':,? ,-- ~~c----'-'_'"' -------",---DOllars $....::_ f''''('f::ti=a.---;;(i~'P~Ef~~===~~=------- ~1:t~L;i:~;:E=1~~i~fJ =:=----~~----==~==-=- ""r :1""' -'_::"- ,t-t__-,-_, B>,-,_ _~~__, _ ._.::.:::;..::.:.;.:.~~~~.:::::::::::..::...:..-- . L .J L f -, ~ ..J. ..d.. .... ..., _-.oil . "',', , :,',) , . -, ". " i)',' '___ " (" " . , ..' ' , " .1 ~.. F r L L- ~- r Re~~~ ~rlo:~_ ~Dat,~~_':=~.~ 19 ~ Address,_,______..._",.,__..___.. Fo~~=.2'::::,:~~,?::_-"~ ------,---........- Dolla rs $ , f ~. f I I I I (-) r" r; if (.1 V (j lJ " (~. . L :::~~' ~;:'OO::_II--=-~-=== ... . -,.,.:':',-t___.. 1 ,~T:;'R~-_..=L .By.. . '? Qr'r1'~f"r'!' - L -, .J ., -, .j,' .d' .L c.# _~ ., " _----.--.J \ .. r ". "' 0 ~. _ ~ . o to ,- " r - :_;".~.,.. _ .,- ,~, r r I , r .., L ..J .j. .-Jj., r I I I I L -------.----=== R E C E , P T Date U#-t P.2 ~ ----;-~~~.I Received From_L'L:_,l__/?/ '-':~~. Z--19~ (~~) LJ I A"Jiress__,___,___,_~-,~,=- n'~:;;~-'"L~-_ .~~~::c:::~OOI'~Y~" 'MiQ;;-r-E- "OW PA~D -- - ------ - -- -;::~~;~ R~= -~~,~('~----~ -- ---- - - - -- -- - --- --~,- Jour "Uf\I!y -- / ..:::... -----! ()~lfP I . ~'H<fp'l1 ~~..::::::..:::-...- _ __-'__ B~ )). _~7H"" ~.,....../ , ..,...~ i t I i I f I I I L l~ ... ~'" "', ,., .L. ....... ....-...111 , , _ . " .' .2-[,._", I " ~ ,. .-:--1 . . 0'- - ,~_ I t I r ." ,_ r r L L llr....._ r r:u - .. RECEIPT 00"__ ___19_ I Received From_.i/.=?__,.L.c.,.:;7/. /c Sr--;-';I-'?/c "'- I Address__ -. -.- - -- -"- , -'..--.----. i F::'~~<Eo:;g~::::'~E~-:-:~i~. .~~...-~- _.00110'''_3 e- II ~.. M- (I - j ,.,.. ,,, ~\ - - - B I-::? ~ _-'~_ ~ _ _ ~.i:(II_~ _ __ L- _ Y_ r.,..!<~.,'l."' );:')~ LJV~JW mlJ&!&~~...~~~~~1.l';a~'&!lIi!;'$~i;:I~$#_~~ L --, I r' , i , i ,. I I i I ~ I I I .J ~ -, J: ..J' ~ .;..-..... ~ ~ ~ - b !. ~ ' . - .. . " r _ " , _ _ .'. ' ~ _ r r L L r ,:-:3 r ,!;, i'l.; ik1 ,j ;1 j ''1 ~II ,\1 'i ,,1 :;1 ! l ;1 ' RECEIPT Dote_~-3____19 J'/' Received From_-d6"y.-/'r~ Address_____,_____,_ __'_',...________., ..~ 1~' ,) '{ (.,~..) (,I U -----:-1. ",.--.--'----- For_~ULd:L. Dollars $~ - .,",,"-- "o,~) ----- - ------ -- ~~~ijO~1 _ - I ~'--....~__ _ . _ __~ _ ___ _____~___ ,l."TPAI, ~ ,l-jfC~ -a"'I.:;'<(I-- -----r---~-- --- B (/ h uUI _ _ __1 _'--'IWllI ~ __ y -:- r/(jd'l.l'r~ "~~~~'Wmilf~~~~~Wi\~Rm'll'1:.'ili!r;f""1'J2~~': L -, I I I .J - ~ .J. ...J' . ,t o' . . ~ ~" /"' , ," ~.:...(. , . 0 ,_ I ..:. '. _ __ .. /,..... . . :;t... _ . I - . ,0 'I _ r r L L r L I I I I l RECEIPT_ Date '7"'-:.:>'___ 19 ?/ Received From_,_<?' < ,+;. ,,-7 - - Address ;~ ~f ;~,~ 4 --.--.-,---- -. ~~;~~:Z<:~u------u-----------Dollors $ /cU - -----.-------.-----..-..--------...- --- __~~OiJN1.- -- r'--' --';1-0WPA'~D~-, -- _____ __ , /~'L,~:, E ]-r-;:;-;;-=F -- -'--, ------ ^^' '''0 --'---H -::._-- ----- - - ------- - -- -- 'dIU I " ,.~" --1- -- /J no'< f~"" f'ut -- - ~~'~~ _ -= '-- _ B~ ~ _ , -- -- - ~ .., , f , I' t t I I I .J .J;' ...J' " .- :,,,~' , ,'. '-', ZJ,~:i,}), -' -,';..;", - . " - -, n, r r r ~~ _ 3 19 ,J/ ;~ S ~~ 5 RECEIPT 4.', D.~~ ,,<,' ,......../?-'/:"., -- - Received From_=__,_,n___ Address__- - ..'----- - Dollars $/::-- -- F~~ _ '12-~-;Z~ ---- A~~~\?2,(Cf:~ '''''r ~J,--: ------ .,M. ,.~.[ __.--1-- ~~:.~------ By/'~ _ ?;I"A'H.! \ I")l~ _ _ L- _ (ut _._ O(>t~;<'," <I L L L. -, t \ 1 y I I ~, " I I , .J - -, ..j, ...J' , -~ -:~ -"":\: 0', ~'-1 I" ~ . _ I -> I' 0 0 , ~ ., _ . '.. . . '. '" r r L... L- ~- o~. , . ._ r L -, ,- I R E~;;-======== -===== ! R' Date ~3 ' ecelved From 7.P., ~ 19'0' Addre --~'2:2:'~/E/P/<-?" -'- ss__,_"_ ~___ I '_ ---'--'------____ I -r7-~'----___, ___ I For_~2"/ T.- '--------_ I -'---,. -'--"------'----_..___~---Dol/ars $720_ (. .~r=p~~~=~~-~~-= ~ L--=-/={",,, ~l~B /.g , .' . ---, ---L...._ -!:~~.c""'::'c:::::::.:::::::::=::=c:::o,=: _____ ,) 00 L,.....i (.-1 U -I ~ ~. -v ~ ..J.' ....lI" -, .L ~ _.-...I11III " - - .J '- or' . ~, ,. "'. '" ;J ... ~ .',.' ~ ' . , -,., ',J-.! 0 -' . . . , . A. t~_ r r r I \ I I fr (~:j27 RECEIPT Date y"'-3 ,19 ~r/ Received From~fr5_~~~:::0..L-.L:::r- ;:~d~e~~~~~ii~~=~-_==~-~~,___DOllars $ SV-,f ---~-------- ------ ---'i.'C?~-~=--E::u ';OW PAID__u ___ '~~~~ft ~~=F~~~= -1 By ,L2~,_, P..' ;"';~"n, ,.~-~--' ~';;,), ,:u; " ~.... r~"""""'i'..' }'t L L L lrI..-_ ., -, -, .J .J: ..J., ~ -..... ~ , . ,'. . ." ","" ,', ",:J'" '" ' .. " <,' r~,., r r L L ~- r~ L , ~ ~. ~," L RECEIPT Received From Address 4'-3 19_- Dole__--".--- .:z;!.. '~~:::..:~---- ----------~.---. Dollars $ / "' _.,.~--_._---- For '\ "ow'A'D ~ "~;f,:-~'-(\O~~_,;+~ ::, 1~.. . -,>-:; -----. : . ,\;~:~\'. .~.\, ....., L___ .. _ ' ..- .:: :~:. -..'.....-- t \ J -, '1 -, .J: -11'; ... -...... ~ r r I ~ r L I- I I 1 I I i I. 'j :,:. ri (,'\ [.,.I'..)(..:'..) R E eEl P T Dote~ .7~_<?~_19 L!..- ,.,.J /,' ,", Received From_'__"/LL(,.,,y1~__~~L.~~ ~ Address",_, "m, __ ,_,_,___, ..----'. ~i~Btr~F:~.~f~-=~~li~; ~ J I ! r t 1 ~' I f r r./,.,~ ,; ,," '(' ~~~~_~~)l;l1i~~\W1l>Wf,\il~~.'''-Wll~l~lil&'-~' ~~.- -, --I -, --, J: , . '1. .....11' ! ~ ~ -- " -'. . -. ", - _ ~:i1f . '" J ' .' I , ,. 0 ~ . " " . ." . . r r L L r L ,1 rl( ,- '" 1 '1 I j I ,:1 I '! i I I J ll, ~, . :>5:j 0 I RECEIPT Date ~~/;: 19 f/ Received From_.,~!~"~__~~('~~ < ?''' (~[ "';-' ?2!;' - Add,ess__,,____, ".~_ ____H ---m_u'~=_~_____~_Dallars $/;)~ FOI n,L:::>'~" r' /,c.. - AlCc)UN' g - "OWP'";~- - -- ~ - ----- --- - ---~ --;~'6 :;"l=- -=-r-= ~'=- -- - -- --,-- H _m__ ---- - """,,, ."c> f- ,2 +-I'-/"-l4N(1 - --1- ~(r,f~-- - By C? (), ( __..J. + _ _ )~if..': _ 1--- _ -- - _ --:_- __ -__ -..=---=_ ~~~il\.~~~~~,\f;~~<~~~~ JI...' ..~., ",' --, .J - --, - e I _ ,. .' '.,' , .. _ ,,_, ' ~ .' _\., - 1 '. ". " - - . r - r ~ r .., .J ,) }~ Ji '0 '~1 ~~ ;~ I RECEIPT Da'e_~__~__19 J;/ Received From_~.;'?_,~~.:::z.""v' ,,/ ~.;~c::_____ -- Add ress,_ , ) ;" "1 'i LJ .~) t) I f. , I, I I I For ,_.._ r.~',:r, ,...~/'/ . ..'-._._m_.,..,'.._...__.. 7:: ;7-------'-,.-. .-----___,Dollars$ - ., j ~ , .1 :~ I I l ^,COUNI 1 hOW,'''''' ~---- --'.;;-;-0,-- - -----r- -- -- OU~.l _ _~_ l ~~~1 __ ___ _ _ I ;~,,:''', f-.i------,;O;,H-=:-:: B n"'I7t,~'7"~~-~-~- ~- 1__ Y ~/4. ,-,', "''''';'''.."...'''1''''r'~W-~)l,~~~~il1li!lllll,1JI!iliHll~~, L .J L .:;J ..J} L . . . . ',' J ' " . . a I, " ~ '" " , ., . I , , . _ _ ~ :: " , , "I ,_ r r r L L c II :;1 :1 ';j ;',) .~ ~j j ,1 ..:, 1 ::; '~ J r -- l R E eEl P T D /' F'/ L.~ ~.~; :~; 2 :~';:;:: F,om~_<;<;v!~j ~~ _'9 _ ~__ ---- - -- ,~, -- _ __ '_ _ __ _ ---__Dollar5 $ ;;7 cJ I~:_~~^_~ 0"-,,:'.' ~ '--..---'-----~~===-===-~----- I ;:,~:~~' +:--~:=j~::::, - (; 6 - -'---------- , 'ut t ,__ ,~,,[, _ _ Ql"1.fyrr,:, '. """li"''':Bi.';'Y''''::.;!{'' "\~';t~":"~"":;~&.~~~~>>"'~~~fi!m&m --, ! t- ~' , " I -.J -, -, .J: ...JJ' ' .... - --... . -r- r ," , . ' 1:,....'" ~ . '. .,..,~ _,'.,'" ..- '" ;j t ' ~'..- l' - 0... ! ...- \ ~'O _ r r llI..-_ r --- RECE'PT.~ Dote ~/F ''';/ ;"'" '';' Rece;vedFrom:;) ~Z,//,~,/_. ./ --- __19_ t...J\~",;v Address ;/-r- ""~',' ,.~~-" ,CL~,~=?c...._......__..,___,__ -----'-----,._- --'--..-..-------.-------- For,r'._'" '" ----.. -----....,..-.--Dollors $ i l :"e:I'~Ej~,. "O~t[ ..5' 1""",1 L . ... --, I r J I r f f f I' ;, ~ -, -, ..J! -!I., "- ... -...Ill ~ , " " ", - ,~' ',' '~ . '. 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WA Received From ../!:< C'i: ' NO. $~',I</(!t100 3 5 ~6 DOLLARS '.C I :',:." /-1 / ; '.. ~ ' ; ,," ,': ,~,;. ,:';-i_ - ,,- ::"':'~:~-'\'~,>' . , ;" ~ ' .. ~',J ,," 15. 'Qj >- ~ E a: 5 Q.) g ~ ~ '" 0 '" " '" '" 12Cii~ 0;'1:: " '" "'--' ~ .',"','. "''',',-' . ,~ :~ ) TB n.;;Ii .'".',;. "I',," " '-'~ ';',:'., : "..<. L. -...... ... , " .' ' " : : ,- ,- ,', . '--~,' ,,' ",.' ' ' , : ,: , r r -r --, r -, ~ r- RECEIPT ~,~ S :.~ 9 /:'1 '''j if, ~l '1 ;1 ,:"A j ;j :1 'I i Dote _ .,z - <q~~__19 ~ Received From '_..__.--'____..,-'-_-.::......_ '__________,_ Address. ...... '-""..,, ! f I I I, r """ ..~e':~~,;<'''i.:.'r~.~..,..,:i(W'''..(:r~~~~At~~lt.~~:n~_ I ,J'l .....'--.-----.--.-.-__Dol/or5 $_ ...:!- For_~_"'_.. --:,~'_ ,-:'~/ _<~.~ 1--_ -, A~Z'?"c::'...,.;O"'Alil .~------ """' r' ~-- , ". .~~:;,',':'~~,' F_~,~=~;~f.F~~.j~:~-r~ By "" .~, L .-J L- L ~- J: ...JY ~., ~~, - '- -- --.... , . . . . " ' '\ I -.' _ . ,i:f''-' . _ '4 ':1. " .,' ~_',,, ... 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"" ~. . . _ - 1 r --, t I: f I I R ~ eEl P T pote -<T:=-.:Lr,-L-_. 1 9 )12' 7 /l ~~ 1 ReceIved From____~~t:jV ,:--_,L(, f.2<CJdL '--- I, " I A'!.dress=r-__,!!3j<-,L l:-:a.~c__!.4.Lc:J:[:-=-~:=_== For J:Jt~ "-- --.I---T'-'-(-~~rb------ Dollars $L~ (~. -~-- 0~""~"'--O--L::5T ---.UO"",- ... ~~11-t ..-- ...-..........=-- -- -- .---1 ,:c-,:~ '::~ L --I L L ..J. _JJ , ,~ - .;' -:. ' 1~' '. _ ' . _. '. . . " I -. ",,' ~ _. _ _ _ r r L.... L ......- L r ~,.,:!):,:;;/~:!<~?r"Y/~0-Y'"'!f-\t:~;,~:~,~ ~':1:'W?~'::::j,,!?;t~~'??:'~::12::~~:';o/'\n{':r:0~j~t~:(~~0';t;;f~ll:f~?k~;rt?%?~~~~#\:" ;l." , ~'.-". fIl- I R ~ eEl P T Date' / ~-~ u:< ~ J 19-:;/ ,: S 4'7 '1 ReceIved From~,{.,..,~ / _7/,~ (/ J"",- ) ! Address -7--- . ~ (~.-(..e.. -~~~-~lH~___~~- - --- ~-------- _~ I ~or -/::!',",,<-<.j _ '. - _____=__,~..:-~~$/O ~o L1 =:'~r":I' i"OF" ,:,~--.-,~--= :-==-=--==~~-- Ilil "-"'C' -.- -- ___ - _~ ---_1__ l~~':~\ '- B. I ~ ""d~P'" -'--=-___ - '--- _ t /!=,':-:;~':-:~~~-::_.e'~====-, ,_'.r' ~:~: .~'.i';7'.;:-?~I,,;';>. .J -,> -, -, .J~"'" ...JF' '- -..... ~ . . . I ~ , ". .' " -f I _ . .."):.. ~ . ' , . ' '. ... ~ ~ .' \- . .~ '- , r r r >" ....... ....(-- ~ RECEIPT Datci47L, Received FromJ?:~~f4<'!-_I{_e_(!kviZ:. Address____7{~df~ , ____,7...hL-_~ t" 'Yn ' {:;-I For____uL~p__--~"yr.- 1921_ 0842 Dollars $J.i2, 0. l By,;t~2.M_I?2l~r# 8K802 RO<J'~pt~\ , ~~~~"~'il;ll~~i: L .J,.., ~ ~ .. ~ -, -, tt. Ii ~ r I, ! I ! I t I I, I --, .J ..J~ ..J.;'. "'\ ~ -- ..:. -.... t\ -- '., , ": . , . , ';.' 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Dq.Je~~:_Z~19 J':/ Received Fromm_I,p.:':"'0..f.,;~.~_____, Address 1~::,4.c: -, .J ~ --, ..J: .-Jill -, ',' ,', '. -I" ,::.', "- '.;'.: - ',l, ":;;!. , ' . r r r L L L .., r 1 I 'I I: II RECEIPT /~/~ Date__7'-:2Q~19~ ReceIved From-L~~!":-;:~.J~~~-L~'_C'-- Addres'_,__-.___n__n________,_,___,______,_____ ,--- ------- ,u,______..'..___n _______ Dollars $ /:../ '!:;C F 0 t;..~~:_..~' <"~', ::-~-::~_, __ ;.:: :._J!j U -.. -- - ---~ - ---------~-- - AC-COUNT:t """." U --;~,'~3f:,~-F-J---- -' ": --j:' --- ,~, "'" '1 .,,<< --BAt..;:', f ~ t-- --- I\l r.t -- --- -= ",- ..-_,,_ _()~t _ 1_ _ _'::'~')I' _ _ I By_ 1':::/ f?(J(l'~{H~ .J g .,j, ...J - , . ., .,; "" ":. ,. ~;:,,] " .-'~. .' - ,", . n .:. , . '. ,. _ ~ " --",--: .,. 'J . I"~ . . , . 7 _ _ r I r -, r --, ~ " () G 1,0 C ? S 0 ?, ~ (; 1, (j 0 ":,l: (j " (, "i.{) ( 1],(, "). L.( (, (' 1 ), (j (', 'i l l' (; .. 'IL{ 1.[; ( ,) C' (' ~. (' . L .J L .=J, L ..JJ' . :/ . , ~ '" .' ~ '.' I " -!.. _~ . . I 7 ". ~ ", ,;_: , . ',~ .' 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Dollars $.100 I I l ~:.f,:I,;f-."f~~~~~T.-~=j"-;'~row f'~?, .~--.'='" o\.MI P"'jj" 'i .;I1fO ==-1- n, ".,",f^:'~" ~-~--i--:' :2~?t :'::-i..-~ By T!<,. 'i'''~~~~,,:i~~Jj.ll .J - ~ ., ..j, .-Jj., .L -- ... ...... ~ C_.' , ~A' ' .. ' . . .'.' ' ,. . ',', " . - ~ , - r r r -, r I .] '} l? f~ I i I,,; I ~ I t I f 1 l f ! RECEIPT Date ./ ;7&',.19. dP/ Received From ?B;::'-L:~';~..___..____ Add.'ess i ! i /: II ll. For .T"5 .----- -------, ..Y (;/ cr ' .----,-----, .--,_._Dol/ars $--=- .e":,, . o::::dQ'C'2::""'<.-:!_~~~a,.. - _'_':'-'O'.0:~_~' _--'C9WPAII)~~' 0- _'_0.__ 4MIQI + A~ ~O\!',n, _ _~.'\_~f'_ _ _ _ "'~. AY.T"^I!, CMU.,,_ '--I1"'-(,A'r~f'l' --;--- -'-\~6NI'-~- ---~-1 B " E__In -~",.",fLY - ---- - -'-,._--'--~--_._--_. 11",j:(;""" ~--~~~\.~~!l.\iit\:.~~_I~liJ~i8k'lli'i1Jlllil,"{)t:j!~__~~' L ...J L L llla....._ -, ~ .J.' ..J" ..... -~ ~ . . 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WARRANT I I CHECK I ' J CASH (" , FUND NAME ) ,/) / ( ""I, If /r 1 r,,1 If' ~- / I' (/ REVENUE CODE NO, REVENUE SOURCE DESCRIPTION ,/' ') /P;';/1I;7-<; :) /.1\ ,/ ;] /, (' (.. /),'),,0 " ~?.3'- 37/ ,:;:2.2 ;'/(:J /~ (")0 I ' ",-;,'.yJ ,f',v ./ ) 17 BY ~,:.~~_.-:../'~~__7~~~~,_____ DEPUTY TREASURER TOTAL /:<(':1 ?{.i .~'" 1, ",:,,', .'!t~ ~'., \>"( '~1 \'- " ~:" " iW., ',""}; ...JJ,.j, ~ ~ ...-...iiI '~, ' _ - h': _ (,'",~ ", . , " ',' , ,- : c ',' :. I' .' _' I ~ r --, L --11 L t, .J: ..JV . . ~ . .L. _ ..-.... . ,I -... . J ~ ~ " '",: : ',- .: " l. _~ _;!}, " ,'. - , .' . .' ,-.>_ F r- -n ~ r --, L .J L L .j. -11' lll......_ & . 'oJ . ..... --. - -.... '_ 0,,'. , .' ~ '. .' _ , ~>- '. . _ . . \.\]j ~ r _... .1 "f', .1 . .. t r r I ~ !' L... f r IL '7 '\5\ \-~-- - "-~-~~~,- p-~ DoteJ-~~yt/'ML/t~-~~J;!:;,~ ,iJ,.,d,&i___..J.ftU-_L---,f ,- Received From,__ ,,--' l ______,____.._'- ..5 ~ _ ,--,---,------_=..___ Dollars $ Address--- -.- UT)7 .,--::=:--_-,-'- 0.1- (~~--jJ@-...:---'--- FO~:_7I-~-------------~==-- :,'~<,~~~om~~-~ =-:~~A:~~ - URDf'P __ ')'Il ~ !<ed,jf,n., .. J ..., t . \ t \ \ ~ f/:: ..Ji .-J1'; "- ___ ...-....1 . ' .... . I., ,'r ~ . . , " 'I' ': ' . ~ _~__ _ _ .,. / . ~. -- . ~.... r r L ~ r "it "1 .~ I J 'j C! I ) J :J j ~ I ,1 RECEIPT Date_/-~~ 19~ OB34 R 'dF -.~- ,r ecelve rom_~.,., .;...-/~ /. r I .-_,(~.I7- Addr:~=~~ "-f\.fr'" V ,-' Dolla~5 $~'" (;. For _.+._..)+_l_~',_:"'---'_:i.-__.~,=---,-__-:.._.___~..'.l...L-_.--CL~.~---!._________ ~) . fll"ll/)H~ _'~;'~8,LCC"JN'--El~:~ -- H~W-PAID --~ - -- ~~;- A.MI P41[J Cliff ~ -~;~~~lt - ~]-~l-~t;r~-------- By /", ~~~~~!~~i~r~~~~~;~1J5~1ikl4%w~.~~~~ L -, -.J -, -~ ..J. ..J}' .... -..... ~ , -. ,/ , '" J ' . '\ - ' -... '. - .' , ' . '" . - r r ~ L L.. lL: r ,,,..1 r'lr l'j \::$ ! "I ::~ 1j :,), !'.~1 "'1 };~ :"') "';:J RECEIPT DatL....j- /~_19E- Received Fromn__";;~~~_'_2"u~~,_..,___,_ ress - t3 n_____n__..~m.. n_____.._~__ - -~~~-=k;;(=~~~~'_..n'nn___~_ '7 'J , , ~~1 ~,~ '" ----, Dollars $ ~'-ACCOUNT-'-.-" --- """A.Y.T O~ ~?~~~_!.._- BAlANCE- -~~!- By/?n' -,;l~ Rl'd'~P'n:' .,.:_'" ~~''f''''''''"..t'm''''~,..~...,.~V'V. -, -, --, , f f j' /: I f r- :~, ..Jj,i: -11'; ~ -- -- , ..v;.ii? -.' ,r _ . ". _ - . ,.. . ~ . ~." '.! . ,,~ ,. -' ' [!:'----.. , - ~ ~ . . ': " --- ., r r L L ......- L r r I L RECEIPT Received From, g Add,ess Dale " .., __~_!~,~:::- 0,c,_~~~.P~~- 19~/_ ') '.: r, '; ,; II../',J For><,?-<~//'f r~ _ Dollars $ .2 .~ m "~'C"''''-"_j __~~ -""?:g=- ;y~;c:/ f--~l~~~J~"~~i~J-~~:-r=jBY ( 6 ri"""/\,H"'. ... ~ --, I I I I ! . -I ., -, ..J: ..JJ" '- _....0lIl ~ , .. '" ' ,', ' \. _" .. ' , . 1:>' !, . '... ~ I. ' "" "" _,' r r L L ....... r lr'.' I I I I I RECEIPT Received From Add ress, . TH//2 T~EA/,-fNQ,~ For /liNT::, Dale, ...:lAN.I'" 19 _8...1._ 7 /1 ;5/: f12r1/LCI/I..' "G.Q.LlI.!.>TtLVC.TL0tU ,_..(CO-!!1.I1Wy.. . Dollars $_l~ 00 I, -'AM"'f[;"'L'''U'::!:g..~gW """~'~ -'-- ,,- ''',!m, ---+-^'" .'f I -- "\11 I'AlI, I ,Hft ~ ":;,,\,,,"':~'~'"'' ~--I-:'::~~~:'.-=t. ,~y 'T L -, i, I I f I , f j ..J ~ -, .J. ..j}' .... ....... . . "" r l , "",' ~, ... . ' -- . . \_~ ' , r r- L L- ~- r v-'- RECEIPT Dote_l-l.9._-=-_ 19JI _ 'Ii ~_.;!:; Received FromB/;r,?~/f CJ;Y'lI1.)'?"c.?:,,..t/ ~"'''''~ ~;:-s "~nt7il:rj ~n'___u__.m._,_ 00 --. n,.. '.lkC- "Ii _~_ Dollars $./ ....... For ._ -h,v1.--"l/~' -11 , , , "CCL)L'NI ~.. HO\""~""--.'- ~=~'L~~.~-l'.~ -.J~. -.",-.' -.. ,,'-, '-""'. ,..1,.." - ~."..,...'.-_... ",. ,,"'.1 PMI> . -J f ~-lf(~ . I I .~.~.~j_._- ;';#~t~- ._-~-.:--.1_ _,_By//'?' ~~#...,..Jt~....".;IV' [1('<1;11"'" :~~~~~1?it~~i~~~;~~SL~~#~V~~'W~~~WtrJ~ L -, , I f } f I -.J ~ -, ..J: ..J" ~ -..... ~ .;"" '[ c, , :, '., I", "i' , ','" L..', : I: I, " ~.' , "'~ ''', ' .' f~ /,' " :: ^ , ,~ " .. !" ,; .~. ~: ':, , < . '.:: '. ,', " , ' , " ':':, ' ','-: ", . ':' """, ;' ," , ' ',' "", , . ,,) JEFFERSON COUNTY, WA V",( ," (t .<1. " / ';' '1 (, 1,'" ;/ Received From (.I, . (";"'_';,/: ' ' ,(' . FUND NUMBER // .- (, ~4"-'-'r""~ If /. 15. 'Q) >- " - '" c ~8~ ::> ::J o C V> '" 0 '" c VI '" 12:>>'= o;:t:: " '" .~ -, :;; . WARRANT ( ) CHECK (v) CASH I,) ~""",:"" ; ." .,> , "" :' ".,.",,' ",:, "'" ',"i, " .,\:. ';':' ":,' , ,', ' ,: " ,,", , ,,:' ,', '" , ; .. :, ' ><,' , I':' ',,:, ':' ,> " ,i, " ", " ~.,.". .,..l 19~ -" NO, $ ,;;:'"/ c",c' CJ0.3055 DOLLARS 321 4723 1/19/31 FUND NAME REVENUE REY1=/'lL:lE;:~OURCE CODE NO, DESCRIPTION , 1 /j ) -~ _";,:7\17\" ":'/J :,' L~: ) It! t >i--/ '/';,J ',' .:J 9 / ?" J ;.j~~ (~ .- / ;;'': "'. ~" ~,'/ - Ii .i,; :i::' b ",.' , ,', , I',,:: ..' . ': ". ' , ,.'. ,,' ':'..: --t ' ',' I': " " "'.,, ,: .. ',' , ','.: ,::', , '" . '" '.: '., " ,",:,,: ,. ;:." , , ,,':", :',:' '" C' CJ, "':'. , , , ....,.... " r" :, ~C(: 3~1.00 f1R :tg.RRn~.[~ 2 1/19/81 AMOUNT ~J- .~ /r .....- cJ :, ';,.' , .' .':: ,'. TOTAl- .2 " (', cl :. ~~I<_."". . ..' " , .. , "i"" ; i '.' ",,':,.' ,', :", ".,",'" .' '( :", "" ,', :' , ::' ..:' r! ", ",0: " ,;, , ',: ': i' :i: , ' ,',:.' " : " ',' .' " :; " ",f ','.' .' . , " , i . ~ . " !. , ,"':i' . 'j: , : '" ~,' "', ': ;. ': ....'" I BY . ),' /., d /~ DEPUTY TREASURER & . ~- ...... . c~, \, ','~ "- .......... ~'"' , ' _~" " .' , " ' ' " I. ~ ' ',',' , ' , , ' , ":, ' . " , '" r r L L- - --, r ..., , ' ... .... L .d .j:" _J} ,. ", '. ,'. . , ' . " '" ',' .-;' : ,;:/." ',', " (. I '. ~~~. ,~'-':' ~ _.,~, , ,r r ~ L... L L r ~ nl RECEIPT Dote._.___>~L:.~_19__.::.~ '/{:C!. J II -;::~:::~ F,om~--c'" -<:-~' :- Q"G- ~6~___ l I - .-"....---.-- '---._____ Dollors $ :] g' FO'/2.-<!'/:",,(. I I l --..-^C(~-u;:ii-mi - -- ;'OW~P^ii;-- -.--,-.-.- ~:~!'6~:..,L !;~:,H;+=--.-- "-,'. -. ", . --,-- J="_..~2~~~~~y=_-~t==_=J . ~Y.~_ -J:~7~:~. .. ~1'd'ly''1.' I I ~~~~~.2iir~.liji~jlli~~!iilK'llll\WJ.1.11I}ilI.il_1iiiiiiillilll~.. ..., .J - -, ..J, ...JJ , , . ~, t. J - '".' . ~ . c {. "~_. , .. I ~ L L r L " j ::.1 ,~ -5 (( .,.. ,', /: I I I -, RECEIPT Dote. _,_~~~_.__19_J:":"_ Received From C C:;,'{,,/'/LL7:;,:'2d./~..,_. , ??O ;;: Address For h/-t' TS '/ .:).:.1" 'n ,-,._,_..Dollors $:) - .~';~::~~~.'C~=I=1,~;-:'O~l"3~:: ::. "" ",' 1~--+=+~;i1~~=.,t=fBY r;;"l'.>'"'' 6,.;?, -I ~ 1 .=J: ....lJ' ' "" l-'~ "t' .' : - , ,""". .. , \.. ...' ,-f':"', -, . , _,' r r- -, -, r -, ~ r I i I I I I I l. RECEIPT ! Dole.d~c,u___,_.. 19 ,J;>~ Received From /. r'/:2Iy_j.~::::1CLL',_,,,,,,,,,_,,____ Add ress ~: ,-} 1"1 '~i tGU..., f f, i r f: , I I For / .?~6/J .-~~~~,'~:::,Do-i~;~-$/ J J' .. '''('l)Nl I MOWPMU ~- ::~~':'~' - - ~--=T-= -.~:~~-' 1 - ~--'I'_- , ----E'I- c/.-? "''''7'' t- _ . ;;:',~'/ t::: _ _ By - O,,,r,fy": -~~~il~Il~;.m~jf~~~l&~~ L ...J L f .J: -11:: ,.~ . , .~ ".....- .. oJ "- -- --.... ~ " ~- ..;:;----. ~ ':'- - ' ~ ., .. . r ," . '_ , " r", -' _ _,,,I, " " - ~' _,. _ r r 1lI...._ r L R E eEl P T;:,,, Dote ~~ ..0.,." ' 19 :iL__ Received From ,L"_C:4rr...t...t/ ~~,rY~.-- Address ,Ju.--v a... I. ,trVjlf/l/ for Jkn.1 /t-t. ~ 1 " . '3 ',~ i l. "I l .~ ':j ~ I '..., )~'(_l. '-!l _:1__ .,._ _~ -:-: _..!:.iOW_ ~~~:..- " ",,' - - -1--- _.7f- t ^" .", ,.- - t ""' . \- L B )J1 ~--..;:-.:-~~~ :;,:~': .. - y. . 7 ~~I[ ,J ~;. D;lIors $ ;;J ~ I I- !. ..;;J/,~k"/~=----~ I ~ ... -, ..J ~ -, .j: ...j.. . ~ _...OIlI . 0 ' , .. '- . ", -.. ~ '. . - _..~. _t:. " r,' . , ~.., _ r r ~ L L r Re~e:~ ~rIO~,T0-/JJq;P~~--- 19 -"~~~___ Address , <.J _m_ ;?::? For/ ~ /~'S: _nm~~~';~-;z~ '~:~~::':tT=~+=t::':'.~l~- I---~-:-~t~:~f'- t~-I=i By C/D L -, I f 1 t I f f I I I .J ~ -, .J. .-Jj., . . .' I. " ' ' , , _ ' '.. . ,". r; ",' r r -, r --, :i "'; 5i ,j .~ RECEIPT Dote__J4 Received From /!--:7--,c-, 7;='y::":::,,, Address 19 cY/ ?:'-.~:U L ! I I f I r I fo, /<?- /,.y~~ - ~~,-D~'I~~:$~~ ;),?" ~' ;/ ,1 l 7:;T~t/oU':!T-+~=':-"~- ;': .1 =f;:;;;[,-FC/B( _'6, 1.;("1'\,'" ~~~"'H~%iiIi;;.(~~('1i\it{i:ii~~;!$,:~i;i01[~~~~l~:;;'J;i~~_~~t~~~.liiKi~ L -I L ..j, .-Jj L ...~ ,- '. '. , ;r . ' , ,> "., . -, " : ' , - ' , r r L L r '1 n--.. "-RECEIPT I II Received From .~ Address,.. j U! -Fo; . /fe",'l /c/5 - . j ~ I .\(fO!.JNf ~ HQWfl.ID --- - I --wlc;;:----I - _ .~ I o\(,OIlNl __ __ __' "'~H _ 1-- :1 ----, I I :: ,:::' 1= - ~- ':;~.l- ,L3 B ~','$ , ,," t. ''':<!'! . .. _ ~ y 11","ly'~ .3 ' JY 7')(; .. -.k,C:te ///~~;;-;;__.___.. · L,U . --_.. _...5. 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I . _ _.~ r r l r RECEIPT . '} _". -. ----. -~- - ...- rr r-. / Dotea')a''''?.u._,19J/_L ,374 L! A.Ct , ""tI...:h~4- _.,___,_=~_._._. Received From... Address .Jk~"~-<" :;-0<-<'- y , For //l-<..~ C-"7'"-;(;/",,/ . ,-'- ------- Do/lors $..:2' .:';" \" "::~.':::;;CI'~~'~'~J'~I :;--"T:~~j---' , ..n.~=~ "'''''"" ,.---'-!,.,'~-":":i,_=_l.... !=-/ BY??1~~~~,:&c,="--J L --, .J ~ -, ..j. ....1/" , , , ' . '. ..... '. ' \ I . , " , '~"". ',', . ol",,--,l , r r L r L r 1 RECEIPT /1 Dote_. ~..~"._19, if/ Received From raUc:.-.. ,Ld..a..,.t,,~o_ '- '- Address ., For 7"-"'L",,-.'s; "',~.vr.-"'-:r.'.'<'c5~__. ,I<CO"N' /' "ow.,',,,ur-g' __"'" .. ~::::;'::~=+= :~::.'~---=!- .." ;",.." 1..-;.'.'- .;;;;;;,;t.."i.'-B,. Ci/3, ,'"'' t...,;."",,,,,.. ',L,...Ln'...Y ""~, P"d I~..,.. _ " ~"m ~'-fP", ". 7375 Dollors $LU"'" '. ',w"'''''''"\~ii@!i;~.;:P[i-9.;OOjiilii~~9~~ -, I I I I [ f l- f I I ~ -, ..J: ..J ~ ~.. ( 0( !'!.. . . ' . -"". - '.. - 'J!' , . . 'C ' " r r L L r " ! 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" __ ~_' r r L L ........ r RECEIPT Received From, Address Dote_..-L~,Z_ , 19 f/ 73'78 Z2",,(%..??-~ /____~=__ ,:::-~=- Fa..." .///.///;4. '.""'__'''''_''' Dol/ors $._? 00 .~~::~:?~~cr~'=i-j~:"",.~EIW3i=r:,,' Q"",?", - t~'Tj}i~;)t;.-"i=:f.BY, r"/g -- - - .--.---.-.--------.- ----j :c..----J L ~ "10- . ... . . --, I' I ! I I I I ! i ..J ~ -, .J. ....1/;' .... .......l1lI - , .' :, , '- '/ .;' . ',,', '., '-: . , ' .' r r ......- r L --, - _"h_ .__u__..__.______._ _.., _ _ ~ RECEIPT Do'eu__,L~7_ 19 8L, 7379 j I',. Received Frolll. - ~ . EN 5 k./Co -~ _ , _ _ ___ t Address. _ ---! - ;:I.~ ~ o~<Xl_ _ ---'- -, - .-:- ------ - <>" I ;;~~~f:?<~,~;,-'"=!~ ,...-~Oll:.$:;~ j ! n"".!" '____'i-- ~,y~;:,"':.-t-;-=j By ~y~ ."7 _ I .J ~ ~ -, -, ..J: ....1/., .... ..-.....Ill - I ~ r RECEIPT Dote .-_ci?, ,____19-::~' 6---; ..{qr ~ "" -'?_ 7380 Received From Add ress , _, ---_..,__Dollors $_.Z cJd For ?/://775 ,',' O"NI ' j' ';OW-"AID .~_..."_. 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" ' . ; - " , ' 1, , , " . ,,_, . r r r L L L :f:;}~;Jll~~f~~~~~_~~3 : F /Yf ",.--,.,---'--.-.'Dol/ors $./ or,__ /1._(:1:r~: -.-..-.----.--- -~._-- ~:f(;i:"r='+ t,"ot'1=r::~ U Un -- -""t;~I.(;t~T~, :;iii~'~~ ~'~.!.=J13l)?'. '~"-7_~. rl(l<l,fy"~ _" .. -..;-L ....,--"- _._u___,_._____. "=======:;7 i I f I f ! I I i I j --, ..J - -, ..J. ....1/, - . . . ~-.Lj~ - , ' . _ . r- ) _ '" . ' ; ~-. r.,.,'......F;; r r r r R,~,:~~~~~~_~::O~__I9~- 7383 1 \ AddresL..._._H==:'-' --., Dollors $ /cJ.Q. 11 L-;;,r-.-~;:....//-L'5 .... --- -.---.--.-- -----.-- l . ~.tyr+-~"iJ~~y r"?5 _::=-~~=::--J nOd,f,i"'"-:' L L L ~- . ,", "T..'" ............,",. . - , -, --, f ~ l I I I. I t l ! ! ..J .Ji .-J]" ..... -- ~ , - c __, . '-, , " ." _ ~._~ _ 0' ,..' .' " . "'. . ,.' , .) '._ r r L r , ! t ~.--..- ~-'~~~--.=~-===-Dollor;1- ,/ J..,q ',., For '-c---cL':"'/D T.~V_ /-<r:~.P 1: --.--.--.., ---.-.---j I :~;fG"-f~~~tTft~~ ...-=-=---1JII , ""Mp'~, ' '..., --. "-. -,. '" ': 'c:'....=-- ~ f RECEIPT Dote.____ /-/Z 19 Received From._8c;~~r:_ ~./~~~=-== Address_ S/ ' 7384 ~,... ,'" . --, .J ., -, ~. ....1/" ..... --... ,;"...... , . ,J' 1 \ ... " ' . '~(ly"" . ~:- . . '. ,J, "",' . ) r r L L liII...._ r L ,,~ ,1 ,,~ 1 j I ,I ,I j I RECEIPT DO'.__.L.: t,',,_ .19,<'.1._ 7385 , :~c;;::~ From ..-Po,s-l/llq.r~Y- ~. ____m~.___._.., UF;;:~f~I~::r'"~~y~~2-~D~/= I~."l,f.\ '1 ,~. '~~~'~l1~~J;~~_~zm~~;~~~~~~~~~~~~ .J , " ~ -, --, II: -=-', ....1/; , .... .....011 ~ ~ " . v , ~. ,.. . ~\~, . ~ ",' " ,._' " L , __, r r L L r L --, ~ " 1 , j 11 j ~:i ~ .~ . R EC E I PT Date__----"=-~~,__._19 J'~ 7386 Received From.....#-+..<?T'/&', ..J::!'P;f/':;;';C.., __ .'...____ Address,,___. -.-.,.'Z'/~= For~..r-"'/7.J'::' '.____....,__ _m Dollars $.~ cHI. - . .\, ,""Nt ~ "OW"M" 8" - - -:~:.~~!l ~I'- ~':'EI" .--- - '^""" - - .. -- MI"'" -..- By t!'.(3,. IIIJI _ _ _ J _ O",I,~ _ J _ __ _ nl,,~,r,), ''.' ~~ib!if~Qit&)l~~~~~~~l'~ --I , - - I -, ..j, ..J. .L ... -.... , . " '. / ' . . ." ." , . '. "--.,.' .... J . r - ~ -, L. L r --, . RECEIPT Dote-_~_19 J'/ . '"'(387 ReceIved From___~vc.....,-'/"'" , " ./ --__ '-.. --''.j/~c /2. Address,______..... ., / - ---.- ----.----------. _.,_._----~ For,----,/2<':...-"Zz:::z:,,__ '-------.---"...---------Dollors $ - o,p -- ------ ,i~~i~COUN1- i ,-T, :,: - '"FOWi~~~-~ - ------ ----- --~-- - ~. 'I-~.~:~~-~ =t- -.--~ -_on_ ". ---.---..--... -.- --, -[.~C!'-. J _ By._C,~ . R{l(j'~~:1I '!' , , . . c: --o,:~-=' L ..J ..J~ .-Jj' ......., '. --I. . oJ. ." , /J ~ - , ~.. , . . - r r L L r --, RECEIPT Received From Address, ;;z;::: Dote".... /' /3 .,-, "',"2~ r- / -----...- '-... 19 ",,"'/ . "- , -" "~,:~<'<~- _:CE-~~~ 7i8f1 'v 0 For "(.?/.'/0 - ----.--- n. Dollors $--9 -Z:! '1c""~~'- .._. _ -_! - - - "c".-,-- r- -I- . , ~l'(1. I B C. ,,-' - ___-:.J _ . >:._:~"' ~=~ '....-.-.--- '-- L ..J - -, .j. ....1/. , . , ,nt . , , , ! ~ 1. _ ,~ ~ /-' '&_ r r J , r --, (6 I ~ I \, f I i \ :1 ( I I ~ cj ~ \ , i1 ";'i :1 1 ,) .,'" /.2 J?/. 7389 . R E eEl P T Dote___u_~~::".' - 19 --- -7 ' ~ ?~ -T ~-z &:;- Received From~L /~r:-:::7__._::'_;C:"'~_,,_,------,_,__, Address.. D II $ "5 at! , 0 ors For ..._/")./1'"";;) "7!,_~ "((0"""4 "', ~OW'~8 -';;;,;-O'-I-.-,--r"',, ,c'~,"-::, ,,1,--.-~---- _.M"._O\J~.l__ .__.~---t-- ,. .-. ---~I ,,,' "'" , -.--+-~ -;;~:k' ,~~t-. By, u___~ P... j !~" ",' L .J L L ~- .=J. ....1/" .... ~ -...... < . ) '. i' _ I... - _ , " _ _ c---<.' -I. . . ' . . . <.._ r r r --, L L ~- " 1 pOQ · d~;~~ R~~e~~~rl::~_'_~I~~oleh=:~~--J3--,--~9_~~~~~_. J'JI It "~ Address~,,~.. . I . Gr::n':EN..dlVC> ,*~ , ~..~~.~~~'~~II~~;$~L"S" ,,0 ! ,: foe. 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'9~__. - NO. $ //).;~';'.~~003]L,8 DOLLARS :"1 .Y.2 ..y 0 n .1// ,5"/ (r::; ~~I",L, C I ;;;i. oJr::, ...~b / ACt.' ~".:: "'J .".", RE'i!,;!IILl.E,S,oUfl,S~1i' I i C<".~" 'r' ,(":,'" ,_DESCRIPTION ' AMOONT-", G ,I,' tJ I, Jr!?J9,,1 ii, ~ :' .2 ~ :i..i i ..', . FUND NUMBER FUND NAME (1 /) / -<;//,., },/ 1\ .,.),.., 1-/ if REVENUE CODE NO. E. OQi >- '" - CI> c: a: '" o ~u o c: CI> 0 c: <I> ~CiiF -0;:;:: '" CI> "'-' ~ . .; :i': .. WARRANT ( I CHECK (I. ) CASH (I.) / ",-J./ BY /,;-;<; / / ,/>> DEPUTY TREASURER TOTAL / C! ,:.' .:':f ..,. r ,', .' ". "'-,:' ,;' ," " " >:, ,.' , ".'.... .,: . : . ... : ,.,".' " ,'" '" ' . .":':,"., ...... ,,' ":"': , . '..: '.',.,,',"'." " ,.. ",,'.'.'. , ":':.":', ;, .', . ,',. ":. II.' , ,.,,~.," ...., .,".... , .,...' , ',.' , : " , , .., .- " ." :':-. , ': . : ~:. ., . .. , . ,,' .. .:- '.:": .' ',.'. .' " ': ":':', ".' < ':'. .' " ;..':: .."",,'......''.:' ','. , ,::.: . '. .".. '.,. :'., , .' .., '; ,.', :.:' ":', .', ..c . ~, '.J , ., ".... . ...,' ,,'... '. ',:" " .' : ';'" ", '. '." '. :.: , '," ,:' ,., ~- 0'" ""' ~- ..... .... ~' '.1.:.'....... . ,- - --,. .- FUND REVENUE REY~~I,!~WOURCE ....<__r.. ...." t J NUMBER FUND NAME CODE NO. DE CRJ TION 4 AM6lJ"N,.U /, ' //) I -::; '///}/ (Ii. ./ ., . . A'/ /1 ," 'i? 'J 21' r,,{,... _"</ 'J J:t' (i /.', '/;:)" ,- (I / . - -- ----- ) / " WARRANT I I I CHECK (. ) BY ~L-...,_.....<::L..~'~______ TOTAL '.";, .j,' CASH (: ) DEPUTY TREASURER .- 321 0701 1/15/80 6 ~CII I ,;g,;;p ^" I JEFFERSON COUNTY WA _ 7/,,11 II II Y'i/ . I' j /. ! ReceIved From ,1('jI1t~ "'_ '-,!t?'#,h.- ,,-;,.1 .: /" '>1 19~ $ ,;)~:,-?r DOLLARS NO. 003050 a. "Qj >- o - Q) c: ~8~ " " o c: <n Q) 0 '" c: <n Q) .!S!Q3r= -.;:;:: " Q) <n-, ~ . , '- . . ' , . ' '- ,,.' , -' ". " ' ,,~","<"::- ' r r - '-, r --, L .J L L ..j. ....1/' . ... " .. <>., '. I - t> ~.: '. -' . ", " ~. 1_ r --, RECEIPT '1391 Received From Address Dote_ /' '-:'~, .~ / //CZ.s:~.:.:..., .19_,Y~ For ,/;:; ,-' ,T Dollars $ ,/,lj~ , \" ^",(l,,~, 1 """""A'" I ::;':',.~~:-'I"-, ',"~, j--,.",',' -- -".,,',.:- "''''1',','''--''.',,'- ., u_t.____ ..______._......._. .r...'.' , .. "fe, C" ;'::::',';-;By / /!.,:J ",' /.) o.~t:,.,~ L -.J - -, ..J: ....1/' . ~( 7' --' . I , '~1 ' ~ : . . ~ _,,_ . ~ . ~ ~ ~ . - . r r L L ~- r :~~ .',:~ ."~ :1 ri ill :i '.i ;l A :1 i:~ RECEIPT Dote , .__."'-/-7'. 19 _2?'_ '7392 Received From Address " 1/:: __ -:-.--;- T/ ,~ FOI',..I"f/J.:7"\-:-C-:~~~' <'":}.'~.....,./":'./:.'>_~._- Dollors $,/~.J2 I '''Yh"i',',[, ~I =" '., ::~,-.,' ',~,',.~',,' ._".',,',:, , .".. 'I~ 'n __ ____ I ~ ~ - ~~~:I\- - . '". - ; _=-- _ ~X AI ~.O(Jrn .~:::y~~Yr~~f '1 ~.l '.:~ ,,:.,.:' t""l fy"': L ... oJ --, .J ~ ...., .... ~ .--..... -, . , . . . ^, . . '" ~ . ~ ~' ' - , " , t. .' _ _ r r L L ~- r ';11 ':~ J N ;1 " ~ ! :i .,,~ 'd i .._-""_._:::~~_.- ,,19 _:;Y_ 7393 RECEIPT Dote.. / ":'::"'L'::-_~C..~ Received From Address" For ;/ o/7$- Dollors $,,".c: ,)) ,'"ou''' ~ "CW'"A''' ~j ';:~"'}t~l" "~-~~--, '~:',:,',", "-'-':, ..,.., I ::L;::"," .t-l':'";:~!;~,, r- "J~.'~y .---- "- #:;5 rl""'f,i"m ,..;~~~w:~tijiM1L;a~\~~~"~~~i~~~~W~}[;t&l~i~~~ilJ}ili~A~l1:~\~a~~~~~~~;: L --, f ~, t [' I ! I ..J -n -, ..J. ....1/"" ... __ .. -...lIIlI -, -, r --, L ..J ~ !. ~: r I. '__.___Dollors $.2 OQ r ./~"~)--l"----'~'='c~. ---3.--- II I ,iic~r:.ij.".".,-"r=p~,'" - :,::[,~;;',I-t~-:-:!~_-=i~';~i~17~t-~~=1'=i ~~"" flodlfY"~1 ~: '~~ii~~w.mt~'<ill(;!(~ii~i{"'"iii\I4l\~ ;,1 \,1 ':1 ~() '5~ ::1 ~,~ "J ij :) :~ "._--_._-_._.---~-,. ~_._. ',I ;a ,'I r' I I I I I I \.... R ECEI PT Dote Received From,,_.,_ 1:::,01':::, Address ---,,--;j_f~~-___,~~:;l.~__ !:fta For, }<JL:>.J..k-....ISJ-I ..............c-"';'.G\I j__'L 1 9......lLL r-( ':I 04 IJd ;:J ..1 ~ L L- ~ -J. ....J.. .. .... ~ __ _-....I . /' . , - ' - . -. .' --.c: ' f....... ~ "j.... , '__ r r L L r L ., d lil J ~1 ';j "l :.1 il 'I "~ r I i 1 I I i II _____ __ _n____ R E C. E I P T Dote ,__)--d0 .....!..f.......___ 19 :i 1__ . ,-I;J v /1 'J Received From..::..Lu.!'.....,.ls.1..,___,L....', JT.:.."!!.~:___:,,, Add ress -(QJc..'---~~:;:~-~TJ;.;;: -',' ~~==--' - n,__ -=D~llo-;:-:$L_~ For ,/:J:,.!2! )/I'JI'. 7395 -''''''- ,'ccolJNi' "'--j-- ';'O'"'PA'~" "-'--- A~f{~~~~ --I -("-~~Jh --~_r I ____ -;;, ',',::;:!"~=-=-I--~ ~~I~:~ .'~ --=: By )'27 . liUf .._,: __.,. 1. _.___. __(~'_~!)r.Ii__ _.. _ ____.__._ L. ._". _,:. _(: _~; Po'JIf?'''' '~~.:':=-.~:=~ :'~~->~~l'~.~~:.~c-~_ J :_~S'<<f_~M~W.,"~iffi;;7';~;-:~:.r~..;e..~;1!\''r'li,.-,~ ?X't':~""r;.-~ ,-"".rt:l~';i~c1f~~:...- --, --I - -, ..j: ....1/' , ,r - ~ . - I ,): . ) , , . , , _ r '~ ' r r L L r L l ( , I ~,~.?t; I, Dollors $_'::->7 '..... I .~ ~~'-~g I - --- ._-- ! -- -- 7396 RECEIPT Dote__......(:.!..C[_. 19~/ Received From , ~~ , ,2< r~::I"_?C~/___,____,_._, Address fo._ .-~-A</:~. ~,.,....:.'~.-- " '~"--"" .,;.,::~,t:;:':','I"-"c':. '-'~';" , '.'1'-"",",- , ".,~(,',lW,:~'''!.....)"r" -,',' .. _._..__ .___.l...._~_. .. ... ___.__. .,','.' .'lIi[' ! "<II. : - ,! -.--. ... . ;- -. -?;:.-:~f,.' - .--- - --;- By -. ....,-..--- -.- - . -- . --.... -- - ---- -.... > ,.....-. .- ( <.:'~.; (1"'11,1-'': -.J --, - ~ ..J, ....1/: . , , . . _I , . , ,_' r r - -, r --, ~ RECEIPT <'- Received Frain Addre" Dote, /"~"~-- /~..:{ 19" 739~ J DOI\O'~S 5> :'~_ '" =\ ~j -r ('// P FOI \ "ow',."" ~ '" 0,,''',',', "_.,,,._,',' -- ',' \-'-"', ',_",' ,.~.i:;:.--\._-'-~..- ,',,,__,:::::::r---, ~".~:lJ,~';,~i; '-...._~-...~~~_.~~__._ '_;~~:~j:_' .-. .... \.---'"' By '^..'~.o ,: \ """__,--, ' ___' " .". ..'- ,:/' rl,'.l';~)' '1 L. J L L ..J. d' , " ~ . '; " '-" ' . , ...' . , .' ' . ',ij' " . , ' -", r r I' r L L liI...._ RECEIPT Dote ,~-::/'-?" ,. ,., 19 ~__ Received From. r~ /r- <~_~~..--:.~~ Address 7398 ., _m.--iJo Dollors $..2':.___ For ~R/A-'r5 """.:,~'U~UC:I,; .'+...-- ,--'<()'''."i::''"..., '__1 -,--=.,,::';: f~-!::I;;(J~:::, (-<5 L . - --, I ! I I I .J ., -, ..J~ ....1/" .... _-.....III ~ , . - . :!- r '. : J-":~ I, '-'::..... . . . ~ :- 1_ r r L L 1lIo....._ r L --, RECEIPT DotL_..:ll\.,t,Ul2....u;_ 19..B..L.. 739 9 ,r.Jr...pu,Jl..N.h'i...__________:....__.__ Received FrorTI_._ Add ress__,_.._, For __ LwoJi,vt> "... .____.__n"uu_.___u Dollors $ oc) N.Q. -lao. ____-.1l~_:"...:..~____________. ", ,..,;;-"<:'OU"I.--1", ,,- , ''''';'''"'.''0'['-'- --A':~I?Z;-1=---C- (~'"~~''''' -= .. -~-:;!.,-:~I/~ -- ----1-----.. ~:~~>--- -.----.j- By I'lIl:.. '-.. _..j __.. SJ~Ofh __ .._ _ L _ TI< "lJ<.1'~~" ,,, ~:~ ~fiiiSf~iii:~t,'~"'t 'i~~'":'~:''' ~~\~* '~"B.' ... .J ~ -, .J: ....1/" . .... . -...... ~ , 0 , : , ' " 0 . __" :, I -. , ~' '. "'" r (n --...- '... ,- --~- ., n . . ----. --, ... -....- i R E C EIPT~~~.<f':-~_,19gl. 7 ti 0 0 Received From":', " :"". '".. " .-;-- ':~~j~~~;?:.~;jE:,~~;:.=-DO"~" $ / .0' .-- :,( '"~-~ "'""'ff - -- - _.--...._-~ ---..~._-_.~. -AN -0 r= ~ ~'F "lee NI ~~-r- ,_A~" ~_ - _ 'n.., n,___. ::J . .....\' ,.. 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C c, )~/"..7i , .,.::,,',::,i , " " , " , " RECEIVED ESTIMATED GAS TAX DISTRIBUTION OCT 14 1981. FOR 1982 BASED ON WSAC EXECUTIVE COI'IMITTEE JEFFERSON COUNTY RECO~lr1ENo/lT IONS ENGINEERS OFFICE ( $ 000 ) (1) (2) (3) (4) (5) 1981 Base 1981* Base 1982 1982* Est. 85% Dollar County Factor _ Dollars Factor Doll ars Floor Adams 1.722 $ 964 1.808 $1,031 $ 819 Asotin .741 415 .778 443 353 Benton 1.729 968 1.744 994 823 Chelan 1.530 857 1. 606 915 728 Clallam 1.142 639 1.199 683 543 Clark 3.819 2,139 4.010 2,286 1,818 Columbia .846 474 .888 506 403 Cowlitz 1.150 644 1.208 688 547 Douglas 2.320 1,299 2.436 1,388 1,104 Ferry 1.701 952 1.616 921 809 Franklin 2.174 1,217 2.065 1,177 1,034 Garfield .850 476 .808 461 405 Grant 3.121 1,748 3.277 1,868 1,486 Grays Harbor 1.910 1,070 1.815 1,034 909 Island 1.058 592 1.111 633 503 Jefferson .686 384 .720 410 326 King 11.818 6,618 11 .854 6,757 5,625 Kits ap 2.936 1,644 3.083 1,757 1,397 Kittitas 1.218 682 1.279 729 580 Klickitat 2.530 1,417 2.404 1,370 1,204 Lewis 2.033 1,138 2.135 1,217 967 Lincoln 2.331 1,305 2.448 1,395 1,109 Mason 1.311 734 1.376 784 624 Okanogan 3.234 1,811 3.072 1,751 1,539 Pacific 1.134 635 1.077 614 540 Pend oreille 1.266 709 1.203 686 603 Pierce 6.128 3,432 6.434 3,667 2,917 San Juan .580 325 .609 347 276 Skagit 1.843 1,032 1.935 1,103 877 Skamania .583 326 .612 349 277 Snohomish 5.282 2,958 5.546 3,161 2,514 Spokane 9.912 5,551 9.416 5,367 4,718 Stevens 3.234 1,811 3.072 1,751 1,539 Thurs ton 2.947 1,650 2.800 1,596 1,402 Wahki akum .662 371 .629 358 315 Walla Walla 2.352 1,317 2.234 1,273 l,119 Wha tc 001 1.893 1,060 1.988 1,133 901 Whitman 3.g4E 2,211 3.751 2,138 1,879 y,lk irna 4.326 2,422 4.110 2,343 2,059 To ta 1 s '-S5'6in- 'T5Tm-- 5% 'RevIsed DOT Gas Tax Estimates for all counties ($5601 for 1981 and ~57m for 1982) I' ,"" .,. 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