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STATE OF CALIFORNIA
STATE ALLOCATION BOARD
EXPENDITURE REPORT
OFFICE OF PUBLIC SCHOOL CONSTRUCTION
EMERGENCY REPAIR PROGRAM
SAB 6104 REV 12/10
Page 2 of 3
LOCAL EDUCATIONAL AGENCY LEA
APPLICATION NUMBER
/
SCHOOL NAME
FIVEDIGIT DISTRICT CODE SEE CALIFORNIA PUBLIC SCHOOL DIRECTORY
COUNTY
SEVENDIGIT SITE CODE SEE CALIFORNIA PUBLIC SCHOOL DIRECTORY
PROJECT TYPES:
• Communication Systems
• Electrical
• Fire Detection/Alarm and/or Sprinkler System
• Flooring Systems
• Gas
• Hazardous Materials
• HVAC
• Paving
• Pest/Vermin Infestation
• Plumbing
• Roofi ng
• Structural Damage
• Wall Systems
• Windows/Doors/Gates
• Other
A. PROJECT DETAIL
Complete one Project Detail line for each Type of Project as previously reported on the Form SAB 61-03. LEAs may print additional copies of this page as necessary to complete expenditure information.
TYPE OF PROJECT INDICATE PROJECT TYPE FROM ABOVE
DSA NUMBER IF APPLICABLE
TOTAL PROJECT COST
.
$
.
$
.
$
.
$
.
$
.
$
.
$
.
$
.
$
.
$
.
$
.
$
.
$
.
$
APPLICATION DOCUMENTATION PREPARATION AND SUBMITTAL COSTS ERP Regulation Section ..(j)]
$
GRAND TOTAL
$
0.00

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