Quarterly Report Template

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QUARTERLY REPORT
APPLICANT NAME
DATE REPORT DUE
DECLARATION: FEMA-
______
-DR-KY
APPLICANT ID#
LARGE PROJECT THRESHOLD FOR FEMA-______-DR-KY: $64,200
PROJECT
PW
PW
ELIGIBLE $ AMOUNT $ AMOUNT % COMPLETED
TIME
DATE
#
VERS
CAT.
$ AMOUNT
SPENT
RECEIVED
TO DATE
EXTENSION COMPLETED
COMMENTS
NAME:
SIGNATURE:
DATE:

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