Form 13424-L - Statement Of Grant Expenditures

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Statement of Grant Expenditures
OMB Number 1545-1648
Grant Period
Name of Low Income Taxpayer Clinic
From
To
Expense Categories
Controversy Program
ESL Program
Totals
Federal
Match
Total
Federal
Match
Total
Federal
Match
Total
A. Personnel
1.
2.
3.
4.
Subtotals
B. Fringe Benefits
C. Travel
D. Equipment
E. Supplies
F. Contractual
1.
2.
3.
Subtotals
G. Construction
H. Other Expenses
1.
2.
3.
4.
Subtotals
I. Total Direct Charges
J. Indirect Charges
K. Totals
13424-L
(11-2011)
Department of the Treasury - Internal Revenue Service
For Paperwork Reduction Act Notice, see Publication 3319.
Form
Catalog Number 58506B

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