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12. Budget/Expenditure Report <br />Prepare an itemized Grant Budget ("Line Item" breakdown should include separated systems, i.e.; 911 system, logging recorder, centerline mapping, etc. and <br />services items). The completed form shall be used to complete quarterly report requirements, listing expenditures and revisions {if any} in appropriate columns. If <br />there is insufficient space, please include details in an attachment. Budget costs should match requested vendor quote. <br />County: <br />Indian River <br />Grant Number: <br />Report Date: <br />For Grant Period Ending: <br />March 31 <br />June 30 <br />September 30 <br />December 31 <br />Year: <br />FINAL <br />Is This a Final Report? Yes ❑ No x❑ <br />Proposed Budget <br />USE FOR QUARTERLY REPORTS <br />Line Item <br />Unit Price ($) <br />Quantity <br />Total Cost ($) <br />Revised Budget <br />Total Cumulative <br />Expenditures ($) <br />A. Systems (Hardware, Software, Equipment & Labor) <br />IRC Sheriff's Office PSAP <br />$17,877.65 <br />1 <br />$17,877.65 <br />Total System Items <br />$17,877.65 <br />B. Services (Training, Maintenance and Warranty Items) <br />Initial Licensing Contract and Training Services: <br />IRC Sheriff's Office PSAP <br />$18,980.00 <br />1 <br />$18,980.00 <br />Total Service Items <br />$18,980.00 <br />Less any Applied County Carry Forward or other Funding (if applicable) <br />Grant Request Total <br />$36,357.65 <br />USE FOR ALL REPORTS <br />Total Amount of Grant Awarded <br />Final Completion Date <br />Application for E911 State Grant Program , revised 01/2018 <br />Page 15 <br />W Form 3A, incorporated by reference in Fla. Admin. Code R. 60FF1-5.003 E911 State Grant <br />Signature, County 911 Coordinator <br />50 <br />