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["DCJS-3264 (2020)"]
["NYS Division of Criminal Justice Services"]
["Detailed Itemization of Non-Personal Expenditures"]
["All Other/Other"]
[]
["1. Grantee Name:                                          "]
["2. Contract Number:"]
["3. DCJS Number:"]
["4. Report Period:                From:",null,null,"To:"]
["5. Contract Period:             From:",null,null,"To:"]
[]
["This form is used to certify the expenditures claimed for the All Other/Other budget category. The amounts charged to the grant for All Other/Other expenditures must be specifically listed in Appendix B/Attachment B-1 of the contract. All Other/Other expenses must have an appropriate and reasonable basis for allocating the expenses for this project."]
[]
[{"$nulls":8},"Amount Charged to"]
["6a","6b","6c",null,"6d",null,"6e",null,"6f","6g"]
["Check Number","Expense Date","Payee",null,"Description",null,"Vendor Type MWBE",null,"Grant Funds","Match"]
[]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[{"$nulls":6},"MBE"]
[{"$nulls":6},"WBE"]
[{"$nulls":6},"Other"]
[]
["Totals should be carried forward to Category I, Column C of the Fiscal Cost Report",{"$nulls":5},"6h Total:",null,{"$f":"IF(SUM(I21:I62)=0,\"\",SUM(I21:I62))","v":""},{"$f":"IF(SUM(J21:J62)=0,\"\",SUM(J21:J62))","v":""}]
["Certification:","I certify that the above expenditures were made in accordance with the pertinent grant, are appropriate to the goals and objectives of the project described therein, and are not duplicative of expenditures claimed on any other grants."]
[]
[]
["Signature:",null,null,"Print Name:"]
[]
["Title:",null,null,"Date:"]