Laserfiche WebLink
Attachment G <br /> JUSTIFICATION OF ADVANCE PAYMENT <br /> RECIPIENT: <br /> If you are requesting an advance,indicate same by checking the box below. <br /> [ ] ADVANCE REQUESTED <br /> Advance payment of$ is requested. Balance of <br /> payments will be made on a reimbursement basis. These funds are <br /> needed to pay staff,award benefits to clients,duplicate forms and <br /> purchase start-up supplies and equipment. We would not be able to <br /> operate the program without this advance. <br /> If you are requesting an advance,complete the following chart and line item justification below. <br /> ESTIMATED EXPENSES <br /> BUDGET CATEGORY/LINE ITEMS 20_-20_Anticipated Expenditures for First Three Months of <br /> (list applicable line items) Contract <br /> For example <br /> ADMINISTRATIVE COSTS <br /> (Include Secondary Administration.) <br /> For example <br /> PROGRAM EXPENSES <br /> TOTAL EXPENSES <br /> LINE ITEM JUSTIFICATION (For each line item,provide a detailed justification explaining the need for the cash <br /> advance. The justification must include supporting documentation that clearly shows the advance will be expended <br /> within the first ninety(90)days of the contract term. Support documentation should include quotes for purchases, <br /> delivery timelines,salary and expense projections,etc.to provide the Division reasonable and necessary support that <br /> the advance will be expended within the first ninety(90)days of the contract term. Any advance funds not expended <br /> within the first ninety(90)days of the contract term shall be returned to the Division Cashier,2555 Shumard Oak <br /> Boulevard,Tallahassee,Florida 32399, within thirty(30)days of receipt,along with any interest earned on the <br /> advance) <br /> /�� 23 <br />