Vermont Recreation Trails Program

Administrative Guide for 1999

Request for Reimbursement & Performance Report

Project / Trail Name: _________________________________________________________

Project ID _________

Request #: _________[partial] [final] Project period: __________to __________

Service Provider or Merchant AND
Desciption of Services or Purchase.........................................		 Invoice Date
& Number		 Check
#		 Amt. paid
or value of
donation
1.      
2.      
3.      
4.      
5.      
6.      
7.      
8.      
9.      
10.      
11.      
12.      
Total payments & Donations  
Less sponsor's match at _______%  
Payment Request  

Sponsor hereby certifres that these are accurate costs and that documentation is in our files to support this request. I understand that these files may be audited at any time.

___________________________
Signature of authorized official & date

___________________________
Name & Title of authorized official

FP&R authorization for payment as indicated

_________________________________
Signature & Date

Performance Report

Project / Trail Name: _________________________________________________________

Project ID _________

Request #: _________[partial] [final] Project period: __________to __________

This form shall accompany all Requests for Reimbursement.

A. Comparison of actual accomplishments to the goals established for this period.




B. Reasons for slippage in those cases where goals were not met.




C. Other pertinent information including, when appropriate, analysis and explanation of cost overruns.




Request for Cash Advance to Trail Grant

Project / Trail Name: _________________________________________________________

I / We, being the authorized Sponsor of the trail grant named above, hereby request a Cash Advance for expenses related to the project / trail project named above in the amount of $______________ which is equal to _______% of the total proposed or approved grant amount of $______________.

I / We understand and agree to follow the Cash Advance Guidelines outlined in the Administrative Guide for the Vermont Recreation Trails Grant Program.

This cash advance will be used to pay for:

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

I / We will demonstrate this financial obligation by way of a signed quote, agreement with service provider, or other clear evidence as follows:

____________________________________________________________________

____________________________________________________________________

By:

____________________________
Signature of Authorized Official & Date

____________________________
Name & Title of Authorized Official

This request is approved as outlined above and with the following conditions:

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________
Peter Strobridge - Date
FP&R Business Manager
Copied from the printed publication using a scanner & OCR software on November 15, 1998 by Kenyon F. Karl <railtrails@crosswinds.net> for organizational planning and public informational purposes only. Since unintentional errors are likely, this copy must not be used for grant application or grant compliance purposes!

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