California Department of Education

ANNUAL FINANCIAL EXPENDITURE REPORT Created: 08/2016

Project Title: California Career Technical Education Incentive Grant (CTEIG) / Funding Source : CTEIG
LEA Name:
Fiscal Year: / CDS No:

A. EXPENDITURE SUMMARY: A summary of expenditures as of June 30 of the prior fiscal year. If expenditures are zero, matching funds should still be reported.

GRANT AMOUNT / $
Category / Description / Expenditures / Matching Funds
1000 / Certified Personnel Salaries
2000 / Classified Personnel Salaries
3000 / Employee Benefits
4000 / Books and Supplies
5000 / Services and Other Operating Expenditures
6000 / Capital Outlay
7000 / Indirect Costs (not to exceed approved rate)*
*Indirect costs exclude line items 5100 (Sub-Agreements for Services) and 6000 Capital Outlay
TOTAL SPENT / $ / $


______

B. EXPENDITURE NARRATIVE: Write a brief description for each of the line item expenditures, describing specifically 'how these funds were spent.' SEE NEXT PAGE

CERTIFICATION
I certify that the expenditures reported above have been made, that all obligations have been liquidated, and that this project has been conducted in accordance with applicable laws and regulations. The approved application for this project, including any approved amendments, and full records of receipts and expenditures have been maintained and are available for audit.
______/ ______
Printed Name and Title of Authorized Official / Phone Number
(Superintendent or Designee)
______/ ______
Signature of Superintendent/Designee / Date Signed
______
Legal Name of Grantee (District Receiving Funds)
______
Street Address City Zip
For California Department of Education USE ONLY
All grant requirements have been met.
Reviewed By: ______Date: ______

Attention: Career Technical Education Administration and Management Office

California Department of Education

1430 N Street, Suite 4202

Sacramento, CA 95814


California Department of Education

ANNUAL FINANCIAL EXPENDITURE REPORT

INSTRUCTIONS: Submit an original of this form upon completion of the annual project requirements after all obligations have been liquidated or encumbered in accordance with the requirements described in the grant award notification letter. Please describe in more detail expenditures in each line item below.

Object
Code / Narrative Examples of Actual Expenditures
1000 / Certified Salaries:
Source of Matching Funds :
2000 / Classified Salaries:
Source of Matching Funds :
3000 / Employee Benefits:
Source of Matching Funds :
4000 / Books and Supplies:
Source of Matching Funds :
5000 / Services and Other Operating Expenses:
Source of Matching Funds :
6000 / Capital Outlay:
Source of Matching Funds :
7000 / Indirect Cost (not to exceed CDE approved rate):
Source of Matching Funds :