Samford Progress Grant Acquittal Form

(Grant By-law Appendix 9.4).

For further information, please contact the Samford Progress Secretary: secretary@samfordprogress.org.au. Address: The Secretary, Samford Progress, PO Box 94, SAMFORD, QLD 4520.

Grant acquittal

Samford Progress contact details

Grant reference number

Grant applicant details

TO THE SECRETARY SAMFORD PROGRESS

The organisation

has completed the project for which Samford Progress provided the grant of

I confirm the following in relation to the grant provided:

1. All grant funds have been used for purposes specified in the approved grant application.

2. I have attached details, invoices and receipts for the uses of grant funds.

3. We have met any specific terms and conditions specified

4. I am returning $_________ of the funds not used for the specified purposes.

Enter amount returning

Or 5. I am not able to acquit this grant at this time for the following reason:

I confirm that all information contained in this application is accurate and I agree to acquit any grant provided as required by Samford Progress.

Your name

Your email address

Your position within organisation

Date

GRANT ACQUITTAL

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