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[null,null,null,"FLORIDA DEPARTMENT OF EDUCATION"]
["(A)  District/Agency Name",null,null,"PROJECT DISBURSEMENT REPORT",null,"(F) Agency Number"]
["(B)  Program Name",{"$nulls":4},"(G) Grant Number"]
["(C)  Effective Approval Date",{"$nulls":4},"(H) Project Code"]
["(D)  Termination Date",{"$nulls":4},"(I)  Agency Reference #"]
["(E)  Total Project Dollars",{"$nulls":4},"(J) Contact Person  ________________ Phone (___)______________"]
[]
[]
["(1)","(2)","(3)",null,"(4)","(5)","(6)","(7)"]
["Function","Object","Description of",null,"Budget","Total Disbursements","Undisbursed","Current"]
["Code","Code","Disbursement",null,"Amount","As of __ /__/__","Balance","Disbursements"]
{"$rows_empty":16}
["ALL PROGRAMS",null,"(8)    COLUMN TOTALS (Complete on last page only)"]
[null,null,"(9)    FEDERAL PROGRAM INCOME"]
["FEDERAL PROGRAMS ONLY",null,"(10)  TOTAL FEDERAL FUNDS"]
["COMPLETE LINES  (9) & (10)",null,"(11)  PROGRAM INCOME FOOTNOTE"]
[]
["(12)  CERTIFICATION:  (Complete on last page only)"]
[]
[]
[]
[]
[]
[]
[null,"Report Number ____ Certified Correct",null,null,null,"Date  ____/____/____"]
[null,"Page ____ of ___",null,"Finance Officer or Authorized Representative"]
[null,null,null,"   DOE Page 1of 2"]
[null,null,null,"PROJECT DISBURSEMENT REPORT"]
[null,null,null,"INSTRUCTIONS"]
[]
["    DISBURSEMENT REPORT"]
["           Complete Items (A) through (J).   Mark (X), in the box provided below the title, to indicate that this is an interim or a final report (a final report is that report which closes out the project)."]
[null,null,"Submit an original and one copy by the due date specified on the DOE200 to: Comptroller's Office, Florida Department of Education, 325 West Gaines, Room 944  "]
[null,null,"Tallahassee, Florida 32399-0400, (850) 245-0401, Suncom 205-0401."]
[null,null,"Do not submit monthly disbursement reports unless instructed to do so by the Comptroller's Office or the state grant program."]
["       COLUMNS"]
["  ","(1)","SCHOOL DISTRICTS ONLY:"]
[null,"FUNCTION","Use the four digit function codes as required in the Financial and Program Cost Accounting and Reporting for Florida Schools Manual."]
[]
[null,"(2)","SCHOOL DISTRICTS:"]
[null,"OBJECT","Use the three digit object codes as required in the Financial and Program Cost Accounting and Reporting for Florida Schools Manual."]
[]
[null,null,"COMMUNITY COLLEGES:"]
[null,null,"Use the five digit object codes as required in the Accounting Manual for Florida's Public Community Colleges."]
[]
[null,null,"UNIVERSITIES AND STATE AGENCIES:"]
[null,null,"Use the six digit object codes as required in the Florida Accounting Information Resource Manual."]
[]
[null,null,"OTHER AGENCIES:"]
[null,null,"Use the object codes as required in the agency's expenditure chart of accounts."]
[]
[null,"(3)","ALL APPLICANTS:"]
[null,"DESCRIPTION","Provide a specific description of the type of expenditures."]
[]
[null,"(4)"]
[null,"AMOUNT","For each function and object code indicate the the budget amount requested."]
[]
[null,"(5)","Complete by reporting total project disbursements as of the date indicated at the top of the column."]
[]
[null,"(6)","Complete by subtracting Column (5) from Column (4)."]
[]
[null,"(7)","Complete by reporting all disbursements not previously reported."]
[]
["       LINES"]
[null,"(8)","Complete Line on last page ONLY.  "]
[]
[null,"(9)","In Columns (5) and (6), report as FEDERAL PROGRAM INCOME the income from user fees and from the sale of equipment or other tangible personal property. "]
[]
[null,"(10)","Complete by subtracting line (9) from line (8) in column (5) and adding line (9) to line (8) in column (6)."]
[]
[null,"(11)"," A footnote should be added to indicate the source of the FEDERAL PROGRAM INCOME."]
["       ITEM"]
[null,"(12)","The Finance Officer or authorized representative must certify and date the project disbursement report on the last page."]
{"$rows_empty":7}
["       DOE-399",null,null,"   DOE Page 2 of 2"]
["       Rev. 06/15"]