Common use of Funding Request Clause in Contracts

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure in this period (1st July – 31st December 2015)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure in this period (1st July – 31st December March 2015)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure from the OPCC in this period (1st July – October 2015 To: 31st December 2015March 2016)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure from the OPCC in this period (1st July – 31st December 2015October 2015 to 30th September 2016)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier codecode ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2014/15 (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure in this period (1st July – 31st December 2015)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure from the OPCC in this period (1st July – September 2015 to 31st December 2015August 2016)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier codecode ANNEX A(ii): PAYMENT REQUEST AND END OF YEAR FINANCIAL MONITORING REPORT 2014/15 (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure in this period (1st July – 31st December 2015)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure from the OPCC in this period (1st July – May 2015 to 31st December 2015October 2016)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July March 2015 (2a) Actual expenditure in this period (1st July March – 31st December 30th June 2015)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure from the OPCC in this period (1st July – 31st December 2015November 2015 to 30th April 2016)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure from the OPCC in this period (1st July – 31st December 2015October 2015 To: 30th September 2016)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received from the OPCC prior to 1st July 2015 (2a) Actual expenditure in this period (1st July – May 2016 to 31st December 2015October 2016)

Funding Request. MONITORING INFORMATION REQUIREMENTS Breakdown of expenditure (items) £ CONFIRMATION BY GRANT RECIPIENT Name (printed): Date: Position: Office of the Police and Crime Commissioner for Derbyshire sign off: Name (printed): Date: Position: OPCC codes: Account Code Cost Centre Project code Project Reference Supplier code (1) Total funding received prior to 1st July 2015 (2a) Actual expenditure in this period (1st July – 31st December 2015)