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3. What is the City Commitment: <br />Matching funds - Amount$%of grant <br />In kind services - Amount$%of grant <br />4. How will the funds be received: <br />Funds are received upfront monthly, through <br />Funds are received upfront quarterly,through <br />Funds are received upfront annually in <br />Funds are/were received (other) <br />for reimbursement <br />Funds are received via application . <br />5. Method of payment: <br />Check <br />ACH Transfer - Senders Identification <br />5. This grant is for: <br />Operating expenses <br />Capital expenses (i.e. equipment, land, etc.) <br />Account Number: <br />To be completed by the Finance Department <br />Section IV <br />Send a copy of this completed form along with Board Minutes to the Finance Director <br />Finance Director's SignatureDate received <br />Initials of person making the budget change in GL <br />Date <br />Call Lori at Ext. 1022 or Tim at Ext. 1029 if you have questions. <br />Page 2 of 2 <br />