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["DCJS-3260 (2020)"]
["NYS Division of Criminal Justice Services"]
["Detailed Itemization off Non- Personal Service Expenditures"]
["Operating Expenses/Supplies"]
[]
["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 expenditures claimed for Operating Expenses/Supplies.  The amounts charged to the grant for Operating Expenses/Supplies expenditures must be valid expense per Appendix B/Attachment B-1 of the contract.  All Supplies expenses must have an appropriate and reasonable basis for allocating the expenses for the project."]
[]
["6a","6b","6c","6d","6e",null,"6f",null,"Amount Charged to"]
["Check No.","Payee","Date Ordered","Date Received","Item",null,"Vendor Type MWBE",null,"6g","6h"]
[{"$nulls":8},"Grant Funds","Match"]
[{"$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"]
[{"$nulls":6},"Other"]
[]
["Totals should be carried forward to Category E, Column C of the Fiscal Cost Report",{"$nulls":5},"6i Total:",null,{"$f":"IF(SUM(I17:I46)=0,\"\",SUM(I17:I46))","v":""},{"$f":"IF(SUM(J17:J46)=0,\"\",SUM(J17:J46))","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:"]