Annex B [Name of the Fund] Financial Statement for Funds Received from the [Name of Recipient Agency] Implementing Partner: [Project Title]. [OCHA Project Reference Number] Project Title: Project Reference #: Period covered from _____________ 20XX to ____________ 20XX Interim Final Please check a box : Amount Received from OCHA $ xxx,xxx.xx Interest Income $ xxx,xxx.xx Miscellaneous Income (if any) $ xxx,xxx.xx Total Income: $ xxx,xxx.xx Expenditure Approved Expenditure (% of Budget Category Budget Balance in USD In USD approved In USD budget) A. Staff and Other Personnel Costs $ xxx,xxx.xx $ xxx,xxx.xx $ xxx,xxx.xx xx%
Annex B Financial Statement for Funds Received from the [Name of the Fund] Implementing Partner: [Name of Recipient Agency] Project Title: [Project Title]. Project Reference #: [OCHA Project Reference Number] Period covered from _____________ 20XX to ____________ 20XX Please check a box : Interim Final Amount Received from OCHA $ xxx,xxx.xx Interest Income $ xxx,xxx.xx Miscellaneous Income (if any) $ xxx,xxx.xx Total Income: $ xxx,xxx.xx Budget Category Approved Budget In USD Expenditure In USD Balance in USD Expenditure (% of approved budget) A. Staff and Other Personnel Costs $ xxx,xxx.xx $ xxx,xxx.xx $ xxx,xxx.xx xx%
grantagreementwithunagencies.docx