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["DCJS-3261 (2020)"]
["NYS Division of Criminal Justice System"]
["Detailed Itemization of Non- Personal Service Expenditures"]
["Travel"]
[]
["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 Travel.  The amounts charged to the grant for Travel expenditures must be a valid expense in the Travel category per Appendix B/Attachment B-1 of the contract.  All Travel expenses must have an appropriate and reasonable basis for allocating the expenses for the project."]
[]
[]
[{"$nulls":9},"Amount Charged to"]
["6a","6b",null,null,"6c",null,"6d",null,null,"6e","6f"]
["Check No.","Payee",null,null,"Dates of Travel",null,"Description",null,null,"Grant Funds","Match"]
{"$rows_empty":37}
["Totals should be carried forward to Category F, Column C of the Fiscal Cost Report",{"$nulls":7},"6g Total:",{"$f":"IF(SUM(J19:J53)=0,\"\",SUM(J19:J53))","v":""},{"$f":"IF(SUM(K19:K53)=0,\"\",SUM(K19:K53))","v":""}]
["Certification: I certify that the above expenditures were made in accordance with the pertinent grant, are appropriate to the goals and objectives of the project described therein, are not duplicative of expenditures claimed on any other grants, and rates do not exceed rates authorized by the NYS Office of the State Comptroller or local governmental jurisdiction in which the program operates.  "]
[]
[]
[]
["Signature:                                                                    ",{"$nulls":3},"Print Name:"]
[]
["Title:",{"$nulls":4},"Date:"]