Include the CLP grant funds and show what items the grant was allocated to. If you received funding from other sources to support your project it is important to note where the money came from. Include your and organisation’s cash ‘in-kind’ contributions. Do not include GST in your reporting. Grant amount: $ Total project amount: $ (1) (2) (3) (4) (5) Expenditure Items This Grant Other In-Kind Source of Other (i.e. what the money Amount Funding Support - Funding or was spent on.) ($) (ex. GST) Amount Provide the In-kind Support. ($) (ex. GST) dollar value of the in-kind support ($) Example only: $1000 $500 $500 Print shop sponsorship Printing Total: Declaration This declaration is made by the grant recipient, or the auspice organisation on behalf of the grant recipient: I declare that I am currently authorised* to sign legal documents on behalf of the organisation. I declare that all the information provided is true and correct. I declare that the grant provided by the Office of Multicultural Interests has been spent in accordance with the purpose and conditions for which it was approved and that the financial statements are a true and fair record of the transactions for this project.
Include the CLP grant funds and show what items the grant was allocated to. If you received funding from other sources to support your project it is important to note where the money came from. Include your organisation’s cash and ‘in-kind’ contributions. Do not include GST in your reporting. Grant amount: $ Total project amount: $ (1) Expenditure Items (i.e. what the money was spent on.) (2) This Grant Amount ($) (ex. GST) (3) Other Funding Amount ($) (ex. GST) (4) In-Kind Support - Provide the dollar value of the in-kind support ($) (5) Source of Other Funding or In-kind Support. Example only: Printing $1000 $500 $500 Print shop sponsorship Total: Declaration This declaration is made by the grant recipient, or the auspice organisation on behalf of the grant recipient: I declare that I am currently authorised* to sign legal documents on behalf of the organisation. I declare that all the information provided is true and correct. I declare that the grant provided by the Office of Multicultural Interests has been spent in accordance with the purpose and conditions for which it was approved and that the financial statements are a true and fair record of the transactions for this project.
Acquittal%20Form%20-%20CLP%20Program%20Development.docx