HomeMy WebLinkAbout2010 Justice Court Assistance Program Application.PDF2010 Justice Court Assistance Program
Application lD # 53
In the space provided belcw, indicate wlren the money was spent on the item described below and the exacl amount spent.
fqnds to be sBe*t within 180 days ef rec*ipt
Cayuga lleights Village Court, Tompkins County
Of Application: Individual
lf .,loint, name of Joint Applicant:
rnment$:
Item Category
Construction
I t affirm this was received Date:
Grant Amount Approved Print Name:
$28,750.00
SiEnature:
Amount actually spent:
TotalAmount of Grant Cayuga Heights Village $30,000.00
SPECIAL NOTE REGARDING AWARD DI$BURSEMENTS:
YourTownsupervisororVillageMayorshouldreceiveacheckfortheamountofthegrantbyMarch3lsl. All gfanl.recipienlsarerernindedlhat,asrequired
by law, funds received hereunder may not be used for purposes olher than the purchase 0f the item(s) $et forth on lhe enclosed award form. Also, as
stipulated In the municipal certification accompanying lhe appllcation lor your grant, 'any goods and/or services purchased with any Juslice Courl Assistanc€
Program funds shall be obtained in accordance with acceptable procurement practices eslablished by lhe goveming municipality including, but not limiled lo,
cornpetilive bidding and ptoculement policies and procedures."
please remernber lo save your recelpts for at leasl lhree (3) years lor audit and review purposes. lfthe amount you $pend putchasing an item is less [han
lhe amount awarded in the grant, and lhal ditference is less lhan 10% ofthe avJ8rd for lhat item. then you may use that savings toward anolhsr grant item or
towards consumable office supplies. lf the savings exceeds 100* of lhe amounlawarded tor lhat item, pleasecontacl lhe Ofice of Juslice CouriSupport at"l
-80tr232-0$30 for approval.
Informatiol about when
vou spent the orant:
Item Category
$ecurity
tl t aFfirm this was received Date:
Grant Amount Approved Print Name:
$1,250.00
Signature:
Amount actually spentr