Federal Register, Volume 74, Number 63, April 3, 2009, Pages 15215-15358 Page: 15,250
vi, 15357, ii p. ; 28 cm.View a full description of this periodical.
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Federal Register / Vol. 74, No. 63 / Friday, April 3, 2009 / Notices
FORM APPROVED OMB NO. 0584-XXXX
1. FEDERAL AGENCY & ORGANIZATIONAL ELEMENT
FINANCIAL STATUS REPORT TO WHICH REPORT IS SUBMITTED
ADDENDUM FOOD AND NUTRITION SERVICE, USDA
2. 3. STATE AGENCY (Name and complete address,including ZIP code)
Letter of Credit No.
12-35-
2a. FISCAL YEAR
4. UNIVERSAL IDENTIFIER NO. 5. STATE AGENCY ACCOUNT NO. 6. FINAL REPORT 7. BASIS
OR ID F- YES r"NO - CASH r- ACCRUAL
8. PROJECT/GRANT PERIOD 9. PERIOD COVERED BY THIS REPORT
FROM (Month, Day, Year) TO (Month, Day, Year) FROM (Month, Day, Year) TO (Month, Day, Year)
10. STATUS OF FUNDS SNAP
31
FUNCTIONS/ACTIVITIES PROGRAM BENEFITS
a. NET OUTLAYS PREVIOUSLY REPORTED
b. TOTAL OUTLAYS THIS REPORT PERIOD
c. LESS: PROGRAM INCOME CREDITS
d. NET OUTLAYS THIS REPORT PERIOD (Line b minus line c)
e. NET OUTLAYS TO DATE (Line a plus line d)
f. LESS: NON-FEDERAL SHARE OF OUTLAYS
g. TOTAL FEDERAL SHARE OF OUTLAYS (Line a minus line f)
h. TOTAL UNLIQUIDATED OBLIGATIONS
i. LESS: NON-FEDERAL SHARE OF UNLIQUIDATED OBLIGATIONS SHOWN
ON LINE h
j. FEDERAL SHARE OF UNLIQUIDATED OBLIGATIONS
k. TOTAL FEDERAL SHARE OF OUTLAYS AND UNLIQUIDATED OBLIGATIONS
I. TOTAL CUMULATIVE AMOUNT OF FEDERAL FUNDS AUTHORIZED
m. UNOBLIGATED BALANCE OF FEDERAL FUNDS
13. CERTIFICATION SIGNATURE OF AUTHORIZED DATE REPORT SUBMITTED
I certify to the best of my knowledge and OFFICIAL
belief that this report is correct and complete
and that all outlays and unliquidated
obligations are for the purposes set forth in NAME TITLE TELEPHONE NO.
the award documents. AREA CODE NUMBER
12. REMARKS: Attach any explanation deemed necessary or information required by FNS in compliancewith governing
legislation.No further monies or other benefits may be paid out under this program
unless this report is completed and filed as required by existing
regulation (34 C.F.R. 256)
SBUFORM FNS-778A (10-08)
Electronic Form Version Designed in Adobe 8.1 version___~_~I~
15250
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United States. Office of the Federal Register. Federal Register, Volume 74, Number 63, April 3, 2009, Pages 15215-15358, periodical, April 3, 2009; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc132925/m1/42/: accessed April 24, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.