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<br />Miami-Dade County <br />Community Policing <br />Grant HSB423 <br /> <br />QINVCP <br />Revised 09/12/02 <br /> <br />QUARTERLY PROJECT PERFORMANCE REPORT" INVOICE <br />[To Be Typed on Jurisdiction's Letterhead] <br /> <br />City: <br /> <br />Date of Claim: <br /> <br />Project Name: <br /> <br />Claim Number: <br /> <br />Costs Incurred During the Period of: <br /> <br />FIRST QUARTER <br />SECOND QUARTER <br />THIRD QUARTER <br />FOURTH QUARTER <br /> <br />October 1 - December 31 <br />January 1 - March 31 <br />April 1 - June 30 <br />July 1 - September 30 <br /> <br />Report Due January 15 <br />Report Due April 15 <br />Report Due June 15 <br />Report Due October 15 <br /> <br />1. Total Federal Budget $ <br /> <br />2. Amount This Invoice $ <br /> <br />(75%) <br /> <br />3. AmoUnt Previous Invoices $ <br /> <br />4. Remaining Balance $ <br /> <br />(Subtrol:t li.... 2" 3 from line 1) <br /> <br />Budget <br />Categories <br /> <br />Line Item <br />Disallowed <br /> <br />Exceeds <br />Budget <br /> <br />Federal <br />Funds <br />(75%) <br /> <br />Local <br />Match <br />(25%) <br /> <br />Total <br />Funds <br />( 100%) <br /> <br />1. Salaries & Benefits <br /> <br />2. Other Personnel <br />Services (Temporary <br />Employees/Contractual) <br /> <br />3. Expenses <br /> <br />4. Total Claim Costs <br /> <br />We request payment in accordance with our contract agreement in the amount of75% of Total Costs for this <br />Claim $ (75%), the balance of costs, S (25%), to be recorded as our <br />in-kind contribution to comply with the local cash match requirement. <br /> <br />Attached please fmd the records which substantiate the above expenditures. I certify that all of the costs have been <br />paid and none of the items have been previously reimbursed, all of the expenditures comply with the authorized <br />budget and fall within the contractual scope of services and all of the goods and services have been received for <br />which reimbursement is requested. <br /> <br />Respectfully submitted, <br /> <br />Payment Approved, Miami-Dade County <br /> <br />Chief of Po licel Other City Official <br />