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;~~a. <br />a ~"i'ix. <br />*..., ~: <br />~~:.. <br />Grantee: <br />Address: <br />Vendor No../Fed ID No..: <br />Account No..: <br />Grant Period: <br />Project: <br />Grant File No: <br />STATE OF NORTH CAROLINA <br />DEPARTMENT OF CRIME CONTROL AND PUBLIC SAFETY <br />Division of Emergency Management <br />Physical Address: 116 West Jones Street, Raleigh, NC 27603-1135 <br />Mailing Address: 4713 Mall Service Center, Raleigh, NC 27689-4713 <br />COST REPORT - FISCAL YEAR 204b <br />EMERGENCY I1~IA]~IAG]EMENT <br />PERFORMANCE GRANT <br />ORANGE COUNTY EMERGENCY A!IANAGEMENT <br />PO BOX 8181 <br />HII.,LSBOROUGH NC 272'78- <br />56-6000327-A ' <br />4701-53692000001-1510512 <br />10/01/OS - 09/30/07 <br />E'G <br />EMPG-2006-.37135 <br />Branch: CENTRAL <br />Budget Worksheet .Personnel Travel Other Total <br />BudgetAmounts: .$463,383.•00 $2,000..00 $44,350.00 $509,733;00 <br />Funding Annual Grant <br />Award Amount Supplemental <br />Amount Est. 2006 <br />EMPG Grant * SATCOM <br />Deductions 2006 <br />EMPG.Grant <br />Worksheet <br />Federal $22,663.00 $7,251.00 $29,914•.00 $26.88 $29,887.12 <br />Match $0.,00 $0.00 $0.00 $0..00 $0.00 <br />Total .$22,663..00 $7,251.00 $29,914,00 $26.88 $29,887.12 <br /> <br /> <br />* 2006 EMPG Grant is calculated by adding the Baseline Amount -a Supplemental Amount - SA7COM <br />Deductions.. SATCOM Deductions are from October 1, 2005 to August 31, 2006 and reflect additional charges <br />over the base amount per month.. <br />Certification: <br />I certify the above are correct, based on grantee's official accounting system and records, consistanfiy applied and maintained, and that expenditures <br />shown have been made for the purpose of and in accordance with, applicable grant terms and conditions, and that appropriate documentation to support <br />these costs and expenditures is available or attached. <br />ORANGE COUNTY EMERGENCY MANAGEIv1ENT Authorized Signature Date <br />Division of Emergency Management Assistant Director's Approval Signature <br />Date <br />Department of Crime Control and Pubtic Safety Controller's Office Approval Date <br />Printed: 1111312006 8:50:15 AM ~ Counry ID: 37135 <br />