PV 659 GT 0000 Vendor # Reviewed 101 659 By: 0000 4734 Job # $ 101 659 0000 4734 Job # $ Approved Total By: Approvals Amount: $ Pend 3 Date QPR: Date: Pend 4 Date Revised 01-18 Check # Check Date OCJA USE ONLY R1/BSR ABOVE LINE Date Office of Criminal Justice Assistance - Nevada Department of Public Safety MONTHLY FINANCIAL CLAIM JAG Project No: Report No: Subgrantee: Reporting period: Address: From To Project Title: Current Budgeted Previously Total Total Category Period Amounts Reported Reported Remaining Expenditures $ $ $ $ $ Personnel - - - - - $ $ $ $ $ - - - - - $ $ $ $ $ Travel - - - - - $ $ $ $ $ Supplies/Operating - - - - - $ $ $ $ $ Confidential Funds - - - - - $ $ $ $ $ Equipment - - - - - $ $ $ $ $ TOTALS - - - - -
PV 659 GT 0000 Vendor # Reviewed By: 101 659 0000 4734 Job # $ 101 659 0000 4734 Job # $ Approved By: Approvals Total Amount: $ QPR: Date: Pend 3 Date Pend 4 Date Revised 01-18 Check # Check Date OCJA USE ONLY ABOVE LINE R1/BSR Date Office of Criminal Justice Assistance - Nevada Department of Public Safety MONTHLY FINANCIAL CLAIM JAG Subgrantee: Project No: Report No: Address: Reporting period: From To Project Title: Category Budgeted Amounts Previously Reported Current Period Expenditures Total Reported Total Remaining Personnel $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - Travel $ - $ - $ - $ - $ - Supplies/Operating $ - $ - $ - $ - $ - Confidential Funds $ - $ - $ - $ - $ - Equipment $ - $ - $ - $ - $ - TOTALS $ - $ - $ - $ - $ -