Common use of Proposed Funding Source Clause in Contracts

Proposed Funding Source. SR administration (97BBA) SR Quality – Parent Education (97QPT) SR Quality – General (97Q00) Other Additional Information: Authorized Signature Date Contract #ELCB-15.16-01 (BPS – Florida First Start) Contract Year: July 1, 2015 – June 30, 2016‌ EARLY LEARNING COALITION OF BREVARD COUNTY INC. TRAVELER CONTRACTOR VOUCHER FOR REIMBURSEMENT EMPOYEE NUMBER HDQTRS OF TRAVEL EXPENSES CHECK ONE: ( )OFFICER/EMPLOYEE ( ) NONEMPLOYEE/IND. CONTRACTOR CITY Date Travel Performed Purpose or Reason Hour of Departure Meals for Class Actual Lodging Map Mileage Vicinity Mileage Total Mileage Other Expenses Non-Mileage Total OCA Code From Point of Origin to Destination (Name of Conference) and Return A & B Travel Claimed**** Claimed (in dollars) Amount Type $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - **** If actual mileage is less than calculated mileage, check the box to the left of map mileage column. Column Column Miles 0 Column Summary Notes: Total Total @ $.445 per mile Total Total $0.00 $0.00 $0.00 $0.00 $0.00 DOT Map Mileage Website xxxx://xxxxxxx0.xxx.xxxxx.xx.xx/CityToCityMileage/viewer.aspx NET AMOUNT DUE $0.00 I hereby certify or affice and declare that this claim for reimbursement is true and correct in every material matter; that the travel expenses were actually incurred by me as necessary in the performance of official duties; that the per diem claimed has been appropriately reduced by any meals or lodging included in the convention or conference registration fees claimed by me, and that this vouhcer conforms in every respect with the requirements of Section 112.061, Florida Statutes. Pursuant to Section 112.061 (3) (a), Florida Statute, I hereby certify and affirm to the best of my knowledge the above travel was for official business for the Early Learning Coalition of Brevard County Inc. and was performed for the purpose(s) stated above. XXXXXXXX'S SIGNATURE SUPERVISOR'S SIGNATURE: DATE TITLE: DATE SUPERVISOR'S TITLE: ATTACHMENT VI 112.061 Per diem and travel expenses of public officers, employees, and authorized persons.—

Proposed Funding Source. SR administration (97BBA) SR Quality – Parent Education (97QPT) SR Quality – General (97Q00) Other Additional Information: Authorized Signature Date Contract #ELCB-15.16ELCB-12-13-01 (BPS – Florida First Start) Contract Year: July 1, 2015 – June 30, 2016‌ ATTACHMENT VI EARLY LEARNING COALITION OF BREVARD COUNTY INC. TRAVELER CONTRACTOR AGENCY Brevard Public Schools - FFS VOUCHER FOR REIMBURSEMENT EMPOYEE NUMBER SSN HDQTRS OF TRAVEL EXPENSES CHECK ONE: ( )OFFICER/EMPLOYEE ( ) NONEMPLOYEE/IND. CONTRACTOR CITY Date Travel Performed From Purpose or Reason Hour of Departure Meals for Class Actual Lodging Per Diem or Class C Map Mileage Vicinity Mileage Total Mileage Other Expenses Non-Mileage Total OCA Code From Point of Origin to Destination (Name of Conference) and Return A & B Travel Claimed**** Actual Lodging Meals Claimed (in dollars) Claimed Amount Type $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - **** If actual mileage is less than calculated mileage, check the box to the left of map mileage column. Column Column Column Miles 0 Column Summary NotesAdvance: Total Total Total @ $.445 per mile Total Total Advance # $0.00 $0.00 $0.00 $0.00 $0.00 DOT Map Mileage Website xxxx://xxxxxxx0.xxx.xxxxx.xx.xx/CityToCityMileage/viewer.aspx $0.00 Advance Date LESS ADVANCE RECEIVED $0.00 Advance Amount LESS CLASS C MEALS (OFFICERS/EMPLOYEES ONLY) NET AMOUNT DUE $0.00 I hereby certify or affice and declare that this claim for reimbursement is true and correct in every material matter; affirm to the best of my ability that the travel above expenses were actually incurred by me as necessary in the performance of official duties; that the per diem claimed has been appropriately reduced by any meals or lodging included in the convention or conference registration fees claimed by me, and that this vouhcer conforms in every respect with the requirements of Section 112.061, Florida Statutes. Pursuant to Section 112.061 (3) (a), Florida Statute, I hereby certify and affirm to the best of my knowledge the above travel was for my specific duties in accordance with Section 112.041, Florida Statutes. official business for the Early Learning Coalition State of Brevard County Inc. Florida and was performed for the purpose(spurpose (s) stated above. XXXXXXXXTRAVELER'S SIGNATURE SUPERVISOR'S SIGNATURE: DATE TITLEDATE PREPARED: DATE TITLE SUPERVISOR'S TITLE: ATTACHMENT VI 112.061 Per diem and travel expenses of public officers, employees, and authorized persons.—:

Proposed Funding Source. SR non-direct services (97BBD) SR administration (97BBA) SR Quality – Parent Education (97QPT97QOO) SR Quality – General Infant and Toddler (97Q0097INT) Other Additional Information: Authorized Signature Date Contract #ELCB-15.16ELCB-10.11-01 (BPS – Florida First Start) Contract Year: July 1, 2015 – June 30, 2016‌ EARLY LEARNING COALITION ATTACHMENT VI‌ STATE OF BREVARD COUNTY INC. FLORIDA TRAVELER CONTRACTOR AGENCY Brevard Public Schools - FFS VOUCHER FOR REIMBURSEMENT EMPOYEE NUMBER SSN HDQTRS OF TRAVEL EXPENSES CHECK ONE: ( )OFFICER/EMPLOYEE ( ) NONEMPLOYEE/IND. CONTRACTOR CITY Date Travel Performed From Purpose or Reason Hour of Departure Meals for Class Actual Lodging Per Diem or Class C Map Mileage Vicinity Mileage Total Mileage Other Expenses Non-Mileage Total OCA Code From Point of Origin to Destination (Name of Conference) and Return A & B Travel Claimed**** Actual Lodging Meals Claimed (in dollars) Claimed Amount Type $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - **** If actual mileage is less than calculated mileage, check the box to the left of map mileage column. Column Column Column Miles 0 Column Summary NotesRevolving Fund: Advance: Total Total Total @ $.445 per mile Total Total Check # Warrant # $0.00 $0.00 $0.00 $0.00 $0.00 DOT Map Mileage Website xxxx://xxxxxxx0.xxx.xxxxx.xx.xx/CityToCityMileage/viewer.aspx $0.00 Check Date Warrant Date LESS ADVANCE RECEIVED Agency Voucher # Statewide Doc. # LESS CLASS C MEALS (OFFICERS/EMPLOYEES ONLY) Agency Voucher # NET AMOUNT DUE $0.00 I hereby certify or affice and declare that this claim for reimbursement is true and correct in every material matter; affirm to the best of my ability that the travel above expenses were actually incurred by me as necessary in the performance of official duties; that the per diem claimed has been appropriately reduced by any meals or lodging included in the convention or conference registration fees claimed by me, and that this vouhcer conforms in every respect with the requirements of Section 112.061, Florida Statutes. Pursuant to Section 112.061 (3) (a), Florida Statute, I hereby certify and affirm to the best of my knowledge the above travel was for my specific duties in accordance with Section 112.041, Florida Statutes. official business for the Early Learning Coalition State of Brevard County Inc. Florida and was performed for the purpose(spurpose (s) stated above. XXXXXXXXTRAVELER'S SIGNATURE SUPERVISOR'S SIGNATURE: DATE TITLEDATE PREPARED: DATE TITLE SUPERVISOR'S TITLE: ATTACHMENT VI 112.061 Per diem and travel expenses of public officers, employees, and authorized persons.—:

Proposed Funding Source. SR non-direct services (97BBD) SR administration (97BBA) SR Quality – Parent Education (97QPT97QOO) SR Quality – General Infant and Toddler (97Q0097INT) Other Additional Information: Authorized Signature Date Contract #ELCB-15.16ELCB-10.11-01 (BPS – Florida First Start) Contract Year: July 1, 2015 – June 30, 2016‌ EARLY LEARNING COALITION ATTACHMENT VI STATE OF BREVARD COUNTY INC. FLORIDA TRAVELER CONTRACTOR AGENCY Brevard Public Schools - FFS VOUCHER FOR REIMBURSEMENT EMPOYEE NUMBER SSN HDQTRS OF TRAVEL EXPENSES CHECK ONE: ( )OFFICER/EMPLOYEE ( ) NONEMPLOYEE/IND. CONTRACTOR CITY Date Travel Performed From Purpose or Reason Hour of Departure Meals for Class Actual Lodging Per Diem or Class C Map Mileage Vicinity Mileage Total Mileage Other Expenses Non-Mileage Total OCA Code From Point of Origin to Destination (Name of Conference) and Return A & B Travel Claimed**** Actual Lodging Meals Claimed (in dollars) Claimed Amount Type $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - **** If actual mileage is less than calculated mileage, check the box to the left of map mileage column. Column Column Column Miles 0 Column Summary NotesRevolving Fund: Advance: Total Total Total @ $.445 per mile Total Total Check # Warrant # $0.00 $0.00 $0.00 $0.00 $0.00 DOT Map Mileage Website xxxx://xxxxxxx0.xxx.xxxxx.xx.xx/CityToCityMileage/viewer.aspx $0.00 Check Date Warrant Date LESS ADVANCE RECEIVED Agency Voucher # Statewide Doc. # LESS CLASS C MEALS (OFFICERS/EMPLOYEES ONLY) Agency Voucher # NET AMOUNT DUE $0.00 I hereby certify or affice and declare that this claim for reimbursement is true and correct in every material matter; affirm to the best of my ability that the travel above expenses were actually incurred by me as necessary in the performance of official duties; that the per diem claimed has been appropriately reduced by any meals or lodging included in the convention or conference registration fees claimed by me, and that this vouhcer conforms in every respect with the requirements of Section 112.061, Florida Statutes. Pursuant to Section 112.061 (3) (a), Florida Statute, I hereby certify and affirm to the best of my knowledge the above travel was for my specific duties in accordance with Section 112.041, Florida Statutes. official business for the Early Learning Coalition State of Brevard County Inc. Florida and was performed for the purpose(spurpose (s) stated above. XXXXXXXXTRAVELER'S SIGNATURE SUPERVISOR'S SIGNATURE: DATE TITLEDATE PREPARED: DATE TITLE SUPERVISOR'S TITLE: ATTACHMENT VI 112.061 Per diem and travel expenses of public officers, employees, and authorized persons.—: