New Search
Community Colleges and Workforce Development <br /> 255 Capitol Street NE Salem, OR 97310 <br /> Oregon Youth Employment Initiative <br /> Reimbursement Request <br /> Grant Period: <br /> Billing Period: <br /> Grant Name: Project Number: <br /> Grantee Name: <br /> Address: <br /> Program Director: Director's Phone: Email: <br /> Prepared By: Preparer's Signature: <br /> Preparer's Phone: Email: <br /> Authorized Agency Official: <br /> Final Invoice: No <br /> COST CATEGORY Current Budget YTD Expenditures Previous Period YTD Current Period Balance Available <br /> Expenditures Expenditures <br /> Crew Leader Wages $ - $ - <br /> Corpsmembers Wages $ - $ - <br /> - <br /> Transportation $ - $ <br /> Tools Costs $ - $ - <br /> Other $ - $ - <br /> $ - $ - <br /> $ - $ - <br /> TOTAL GRANT $ - $ - $ - $ - $ - <br /> Authorized Signatures: <br /> r <br /> I I <br /> 1 I <br /> Program Director Signature /Date CCWD OYEI State Director Signature /Date CCWD Fiscal Signature /Date <br /> I I <br />