Department of Neighborhood EmpowermentCash Request for the Month/Year: NC NAME: Budget Fiscal Year:Number Budget CategoryB...
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NC Monthly Cash Request

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NC Monthly Cash Request

  1. 1. Department of Neighborhood EmpowermentCash Request for the Month/Year: NC NAME: Budget Fiscal Year:Number Budget CategoryBudget(A)Cash Received to Date (B)Cash Request for the Month(C )Budget Balance Available(D)(A ‐ B ‐ C)100 Operations200 Outreach300 Community Improvement400 NPG500 ElectionsTOTAL 0 0 0 0Less Cash Balance From Prior MonthApproved Cash Release by EmpowermentTreasurer Signature Signers SignaturePrint Name Print NameDate DateApproved □ $FUNDING PREPARERS NAME & SIGNATURE DATE Amended □ $Denied □ FUNDING DIRECTORS NAME & SIGNATURE DATEDepartment Staff ‐ Additional Comments DEPARTMENT USE ONLYNC Additional Comments CASH STATUS SUMMARYNEIGHBORHOOD COUNCIL CERTIFICATIONWe hereby certify under penalty of perjury under the laws of the State of California that this Cash Request, and its supporting financial records, are true in all respects. We also understand that allowability of cash requested is subject to final acceptance by the Department of Neighborhood Empowerment. 

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