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["Florida's 21st Century Community Learning Centers "]
["Inventory Form Instructions"]
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["These are just template forms; feel free to use your own format for deliverable and inventory purposes, provided it contains the required information. Always seek guidance from your property department or property manager."]
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[null,"INSTRUCTIONS","Provide as much information as possible. If the information is unavailable, write \"U/A.\" If the information requested does not apply to the particular item, write \"N/A.\" If the information cannot be found, write \"N/F.\""]
["Column 1","Item description","Provide a brief description of the item. Be specific to the item type. For example, instead of writing \"electronics,\" write in \"laptop\" or \"printer.\""]
["Column 2","Manufacturer name ","Provide the name of the company or individual that made the item."]
["Column 3","Model name","Provide the manufacturer's model name for the item."]
["Column 4","Model number","Provide the manufacturer's model number for the item."]
["Column 5","Model year or year of manufacture","Provide either the item's model year or the year it was made."]
["Column 6","Date item was purchased or acquired","Write in the month, day, and year the item was purchased by your 21st CCLC program, using the actual date of purchase recorded on receipts, bills, or other documentation. If the item was not purchased - donated, for example - write the date the program acquired the item. Write as much information as is known. If only a partial date is available, give the known information and write in \"xx/unknown\" for the missing information. For example, \"11/2014, dd/unknown\" or \"2014, mm/dd unknown.\""]
["Column 7","Cost or value at date of purchase or acquisition","Provide the cost of the item at the time of purchase. If the 21st CCLC program did not pay for the item or did not pay the full price for the item, give the full dollar value of the item at the time of purchase or acquisition. For example, if an item's cost was $500 but the 21st CCLC program only paid $300, still write in the value of $500."]
["Column 8","Physical location (site, building, room #)","Write where the item is actually located; the specific location of the item. Addresses are not needed unless the item is kept at a location other than the agency location or the program site(s). This information must be up-to-date at all times."]
["Column 9","Condition of item on date of last physical inventory (Like New, Good, Fair, Poor)","If an item has no damage or wear and functions perfectly, it is 'Like New'. If it has some wear and/or blemishes but still functions perfectly, it is 'Good'. If it has noticeable damage and/or noticeable issues with functionality, it is 'Fair'. If it has significant physical damage and consistent problems with functioning, it is 'Poor'. This information must be up-to-date at all times."]
["Column 10","Identification number","This is the number assigned to the item by your 21st CCLC program. Often the number will be written on a tag attached to the item or directly on the item itself."]
["Column 11","Manufacturer's serial number","This is the serial number written on, stamped on, or assigned to the item by the item's manufacturer. "]
["Column 12","Name of person responsible for item (or designee)","This is the name of the person who currently possesses the item or is responsible for its safekeeping. This information must be up-to-date at all times."]
["Column 13","Method of acquisition","Provide how your 21st CCLC program acquired the item, i.e. purchased via check, cash, or credit card or acquired via donation. Include the check number or card number if applicable."]
["Column 14","Class code (click cell for link)","\"Class Code\" means a classification number used to commonly identify similar items of property which is established by the State’s Chief Financial Officer in the State's financial system. To find a class code, click on the cell to the left to access an online PDF."]
["Column 15","Name of entity that holds title to the item","Provide the name of the organization or entity that is the legal owner of the item."]
["Column 16","Percentage of cost of property funded with 21st CCLC funds","Divide the dollar amount of 21st CCLC funds used to purchase the item by the dollar cost of the item at the time of purchase."]
["Column 17","Current value of item if program is disposing of item","If your 21st CCLC program is selling, donating, recycling, throwing away, or destroying the item, list the item's current dollar value here. Otherwise, write \"not disposing.\""]
["Column 18","Source of funding (including Federal Award Identification Number, if applicable)","Provide the funding source(s) used to purchase the item. If a funding source is a federal award (such as the 21st CCLC grant), the FAIN (Federal Award Identification Number) must be included. The FAIN for the 21st CCLC grant is S287C150009."]

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[" "]
["Inventory Sheet"]
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["Agency Name","EXAMPLE: 21st CCLC Program",{"$nulls":5},"Project Number","EXAMPLE: 10X-1234X-1PCC1",{"$nulls":5},"          Date of last physical inventory",null,"EXAMPLE: 01/01/2016"]
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["Column 1","Column 2","Column 3","Column 4","Column 5","Column 6","Column 7","Column 8","Column 9","Column 10","Column 11","Column 12","Column 13","Column 14","Column 15","Column 16","Column 17","Column 18"]
["Item description","Manufacturer name ","Model name","Model number","Model year or year of manufacture","Date item was purchased or acquired","Cost or value at date of purchase or acquisition","Physical location (site, building, room #)","Condition of item on date of last physical inventory (Like New, Good, Fair, Poor)","Identification number","Manufacturer's serial number","Name of person responsible for item (or designee)","Method of acquisition","Class code (click cell for link)","Name of entity that holds title to the item","Percentage of cost of property funded with 21st CCLC funds","Current value of item if program is disposing of item","Source of funding (including Federal Award Identification Number, if applicable)"]
["EXAMPLE ONLY: Laptop","Computers, Inc. ","SuperLaptop","XJ7B",2013,"2014-11-16",500,"Program Center,  Building A, Room 14","Good","21st CCLC Program  06-57406",7891011,"John Doe","Check #1360","F130","21st CCLC Program",1,"Not disposing","21st CCLC (FAIN S287C150009)"]
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["FL Administrative Code 69I-72.003",{"$nulls":13},"Federal Regulations 2 CFR 200.313(d)(1)"]
["I certify that the above information is true and correct."]
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["Printed Name","EXAMPLE: John Doe",{"$nulls":5},"Signature",{"$nulls":6},"Date","EXAMPLE: 07/01/2016"]
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["Title/Position","EXAMPLE: Project Director"]