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["(A) District / Agency Name:",null,null,"FLORIDA DEPARTMENT OF EDUCATION",null,null,null,"(F) Agency Number: "]
[null,null,null,"PROJECT DISBURSEMENT REPORT ",null,null,null,"(G) Grant Number:  "]
["(B) Project Name:  ",null,null,"Workforce Investment Act, Title I, Section 167",null,null,null,"(H) Project Code:  "]
["(C) Effective Approval Date:  ",null,null,"Migrant and Seasonal Farmworkers",null,null,null,"(I) Contact Person Name:"]
["(D) Termination Date: "]
["(E) Total Project Funds:",null,null,"(INSTRUCTIONS ON PAGE 3)",null,null,null,"(J) Phone: (      )"]
["          (1)","       (2)"," ","(3)","             (4)","                     (5)","(6)","(7)","(8)"]
["Function  ","Object","                Description of Disbursement",null,"Budget","Total Disbursements","Obligations","Unobligated","Current Disbursement"]
["Code","Code",null,null,"Amount","  As of  ___/___/___",null,"Balance","Reported"]
["ADMINISTRATION"]
[""," ","INDIRECT COSTS - DOE Approved Rate",{"$nulls":4},0]
[""," ","DIRECT COSTS",{"$nulls":4},0]
["(9) TOTAL ADMINISTRATIVE COST",null,null,null,0,0,0,0,0]
[]
["STAFF COSTS"]
[null,null,"STAFF SALARIES",{"$nulls":4},0]
[null,null,"STAFF BENEFITS",{"$nulls":4},0]
[null,null,"OUT-OF-COUNTY TRAVEL",{"$nulls":4},0]
[null,null,"IN-COUNTY TRAVEL",{"$nulls":4},0]
[null,null,"PROFESSIONAL SERVICES",{"$nulls":4},0]
[null,null,"OTHER PURCHASED SERVICES (OPS)",{"$nulls":4},0]
[{"$nulls":7},0]
[{"$nulls":7},0]
["(10) TOTAL STAFF COSTS",null,null,null,0,0,0,0,0]
[]
["RELATED ASSISTANCE (For Clients Only)"]
[null,null,"ALLOWANCES - DIRECT PAYMENT",{"$nulls":4},0]
[null,null,"COUNSELING - VENDOR",{"$nulls":4},0]
[null,null,"EMERGENCY ASSISTANCE - VENDOR",{"$nulls":4},0]
[null,null,"FAMILY CARE - CHILDCARE - VENDOR",{"$nulls":4},0]
[null,null,"HEALTH CARE - VENDOR",{"$nulls":4},0]
[null,null,"HOUSING - VENDOR",{"$nulls":4},0]
[null,null,"RENTAL / SETTLEMENT - VENDOR",{"$nulls":4},0]
[null,null,"TRANSLATION - VENDOR",{"$nulls":4},0]
[null,null,"TRANSPORTATION - VENDOR",{"$nulls":4},0]
[null,null,"TRANSPORTATION - AGENCY PROVIDED",{"$nulls":4},0]
[{"$nulls":7},0]
[{"$nulls":7},0]
["(11) TOTAL RELATED ASSISTANCE",null,null,null,0,0,0,0,0]
[]
["OTHER PROGRAM COSTS"]
[null,null,"BACKGROUND CHECKS (CLIENTS ONLY)",{"$nulls":4},0]
[null,null,"BACKGROUND CHECKS (STAFF ONLY)",{"$nulls":4},0]
[null,null,"EQUIPMENT OVER $500",{"$nulls":4},0]
[null,null,"EQUIPMENT UNDER $500",{"$nulls":4},0]
[null,null,"GRAPHICS",{"$nulls":4},0]
[null,null,"INSTRUCTIONAL SUPPLIES",{"$nulls":4},0]
[null,null,"INSURANCE FOR CLIENTS",{"$nulls":4},0]
[null,null,"INTERNET",{"$nulls":4},0]
[null,null,"LEASE COST OF COPY MACHINES",{"$nulls":4},0]
[null,null,"MAINTENANCE",{"$nulls":4},0]
[null,null,"MAINTENANCE COST FOR EQUIPMENT",{"$nulls":4},0]
[null,null,"ON-THE-JOB TRAINING WAGES",{"$nulls":4},0]
[null,null,"POSTAGE",{"$nulls":4},0]
[null,null,"PRINTING AND COPYING",{"$nulls":4},0]
[null,null,"RECRUITMENT MATERIAL",{"$nulls":4},0]
[null,null,"REGISTRATION FEES (STAFF)",{"$nulls":4},0]
[null,null,"REPAIR COST OF EQUIPMENT",{"$nulls":4},0]
[null,null,"SOFTWARE",{"$nulls":4},0]
[null,null,"SPACE LEASE / RENT",{"$nulls":4},0]
[null,null,"SUBSCRIPTION TO NEWSLINES",{"$nulls":4},0]
[null,null,"SUPPLIES AND CONSUMABLES (CLIENTS)",{"$nulls":4},0]
[null,null,"SUPPLIES AND CONSUMABLES (STAFF)",{"$nulls":4},0]
[null,null,"TELEPHONES",{"$nulls":4},0]
[null,null,"TESTING FEES",{"$nulls":4},0]
[null,null,"TEXTBOOKS AND WORKBOOKS",{"$nulls":4},0]
[null,null,"TUITION FEES (CLIENTS)",{"$nulls":4},0]
[null,null,"TUITION FEES (STAFF)",{"$nulls":4},0]
[null,null,"WORK EXPERIENCE WAGES",{"$nulls":4},0]
[null,null,"WORKMAN'S COMPENSATION",{"$nulls":4},0]
[{"$nulls":7},0]
[{"$nulls":7},0]
["(12) TOTAL OTHER PROGRAM COSTS",null,null,null,0,0,0,0,0]
[]
["(13) TOTAL COSTS",null,null,null,0,0,0,0,0]
["(14) FEDERAL PROGRAM INCOME"]
["(15) FEDERAL PROGRAM INCOME FOOTNOTE"]
[]
["(16) CERTIFICATION  (Complete on last page only)"]
["I hereby certify that I have reviewed this disbursement report and that all items shown above are in accordance with applicable laws and regulations and have been classified properly according to this district's/agency's current chart of accounts.  All records necessary to substantiate these items are available for review by the state and federal monitoring staff.  I further certify that as a disbursement report, all disbursements; were obligated after the project approval date and prior to the termination fate; have not been reported previously; and were not used for matching funds on this or any special project.  Further, all inventory items included have been entered properly on the inventory records required by state and federal regulations."]
[]
[]
[]
[]
["DOE 599",null,"Certified Correct by:"]
["Rev. 01/13","Report Number ____",null,"Finance Officer or Authorized Representative",null,null,"DOE ","Audited By:"]
[null,"Page ___ of ____",{"$nulls":4},"USE ","Date:","____/____/________"]
{"$rows_empty":45}
["DOE 599"]
["Rev 01/13"]

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