Common use of Reporting Form Clause in Contracts

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea SD 7J Business Manager PO Box B Alsea, OR 97324 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

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Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 6,392.64 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0401002 Astoria SD 7J Business Manager PO Box B Alsea000 Xxxxxxx Xxxxxx Astoria, OR 97324 97103 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 727.63 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2208001 Harrisburg SD 7J Business Manager PO Box B Alsea208 Harrisburg, OR 97324 97446 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,438.14 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3105002 Elgin SD 7J 23 Business Manager PO Box B Alsea68 Elgin, OR 97324 97827 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,245.62 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2203003 Central Linn SD 7J 552 Business Manager PO Box B Alsea200 Halsey, OR 97324 97348 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,099.38 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1603003 Xxxxxx SD 7J Business Manager PO P. O. Box B Alsea259 Culver, OR 97324 97734 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,495.55 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2407001 Xxxxxxx SD 7J Business Manager PO Box B Alsea100 Gervais, OR 97324 97026 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 19,372.44 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0614001 North Bend SD 7J 13 Business Manager PO Box B Alsea0000 Xxxxx Xxxxxx North Bend, OR 97324 97459 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 912.69 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0802001 Brookings‐Harbor SD 7J 17 Business Manager PO Box B Alsea000 Xxxx Xx. Brookings, OR 97324 97415 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 22,798.78 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0803001 Central Xxxxx SD 7J 1 Business Manager PO Box B Alsea00000 Xxxxxxxxxx Xxx. Gold Beach,, OR 97324 97444 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 21,940.89 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2002003 Blachly SD 7J 90 Business Manager PO Box B Alsea00000 Xxxxxxx Xxxxxx Xx Xxxxxxx, OR 97324 97412 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 825.54 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1003001 Camas Valley SD 7J 21J Business Manager PO Box B Alsea57 Camas Valley, OR 97324 97416 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 14,516.59 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2410001 Xxxxxxxxx SD 7J 14J Business Manager PO Box B Alsea0000 X 0xx Xx Xxxxxxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 5,174.43 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0703001 Xxxxx Co SD 7J Business Manager PO Box B Alsea000 XX Xxxxxx Xxxxx Xx. Xxxxxxxxxx, OR 97324 XX 00000‐8467 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,078.42 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3604001 Dayton SD 7J 008 Business Manager PO P.O. Box B Alsea219 Dayton, OR 97324 97114‐0219 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,914.75 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0203003 Corvallis SD 7J 509J Business Manager PO Box B Alsea0000 XX 00xx Xx. Corvallis, OR 97324 97333 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 372.54 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3407001 Xxxxxx SD 7J 511J Business Manager PO Box B Alsea000 Xxxx Xx Xxxxxx, OR 97324 97119 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 6,092.75 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1811002 Klamath Co SD 7J Business Manager PO Box B Alsea0000 Xxxxxxxxxxxx XX Klamath Falls, OR 97324 97601 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 15,293.54 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2403005 Cascade SD 7J 005 Business Manager PO Box B Alsea00000 Xxxxxx Xx XX Xxxxxx, OR 97324 97392 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 21,434.18 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3506001 Fossil SD 7J 21J Business Manager PO Box B Alsea287 Fossil, OR 97324 97830‐0287 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 11,204.93 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0603005 Coquille SD 7J Business Manager PO Box B Alsea000 X Xxxxxxx Xxxx Xxxxxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 993.09 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0613002 Myrtle Point SD 7J 41 Business Manager PO Box B Alsea000 X Xx Myrtle Point, OR 97324 97458 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,916.28 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0303007 Xxxxxx SD 7J Business Manager PO Box B Alsea00000 X. Xxxxx Xxxx Road Xxxxxx, OR 97324 97017 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 675.29 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2006003 Xxxx Xxxxx SD 7J 28J Business Manager PO Box B Alsea00000 Xxxxxxxxxxx Xx Elmira, OR 97324 97437 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 257.77 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2513001 Xxxxxx Co SD 7J Business Manager PO Box B Alsea000 Xxxxxxxx Xxxx Irrigon, OR 97324 97844 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 12,079.20 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1019001 South Umpqua SD 7J 19 Business Manager PO Box B Alsea000 XX Xxxxxxxx Xxxx Xxxxxx Creek, OR 97324 97457 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 18,741.59 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1610001 Jefferson Co SD 7J 509 Business Manager PO Box B Alsea000 XX Xxxx Xxxxxx Xxxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 18,562.44 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0108001 Xxxxxxxxxx SD 7J Business Manager PO Box B Alsea000 Xxxxx Xxxxxx X Xxxxxxxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,747.89 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2703001 Central SD 7J 13J Business Manager PO Box B Alsea000 X Xxxxx Xx. Independence, OR 97324 97351 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 38,169.47 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2607003 Xxxxxxx‐Xxxxxx SD 7J 10J Business Manager PO Box B Alsea0000 XX Xxxxxxx Parkway Gresham, OR 97324 97030 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 4,787.58 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0307001 Gladstone SD 7J 115 Business Manager PO Box B Alsea17789 Xxxxxxx Xx Gladstone, OR 97324 97027 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 5,386.82 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0602001 Bandon SD 7J 54 Business Manager PO Box B Alsea000 0xx Xxxxxx XX Xxxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 5,425.89 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0102002 Burnt River SD 7J Business Manager PO Box B Alsea9 Unity, OR 97324 97884 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 562.79 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0603004 Coos Bay SD 7J 009 Business Manager PO Box B Alsea0000 Xxxxxxx Xxx. Coos Bay, OR 97324 97420 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 11,280.79 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0503001 Clatskanie SD 7J 6J Business Manager PO Box B Alsea678 Clatskanie, OR 97324 97016 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 67,234.91 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1014001 North Xxxxxxx SD 7J 22 Business Manager PO Box B Alsea338 Drain, OR 97324 97435 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,307.78 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1007002 Glide SD 7J 12 Business Manager PO Box B Alsea00000 X Xxxxxx Xxx Xxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,398.19 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2019006 South Lane SD 7J 45J Business Manager PO P.O. Box B Alsea218 Cottage Grove, OR 97324 97424 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,162.76 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2308001 Xxxxxx SD 7J 66 Business Manager PO Box B Alsea0000 Xxxxxx/Xxxxxxxx Xx Xxxxxx, OR 97324 97906 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 468.18 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2003008 Xxxxxxxx SD 7J 40 Business Manager PO Box B Alsea000 X Xxxxxx Creswell, OR 97324 97426 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 453.34 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1101001 Arlington SD 7J Business Manager PO P.O. Box B Alsea10 Arlington, OR 97324 97812 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 324.31 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3005001 Echo SD 7J 5 Business Manager PO Box B Alsea000 Xxxxxx Xxxxxx ECHO, OR 97324 97826 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,455.99 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1005001 Xxxxxx SD 7J 34 Business Manager PO Box B Alsea390 Elkton, OR 97324 97436 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,141.70 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0303003 Canby SD 7J 86 Business Manager PO Box B Alsea0000 X Xxx Xx Xxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 880.33 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3205001 Enterprise SD 7J 21 Business Manager PO Box B Alsea201 S.E. 4th Enterprise, OR 97324 97828 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 322.48 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea SD 7J 1704002 Dome School Business Manager PO Box B Alsea0000 Xxxxxxx Xxxx. Cave Junction, OR 97324 97523 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,423.19 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3614001 Xxxxxxx SD 7J 29J Business Manager PO Box B Alsea000 X Xxxxx Xxxxxx Newberg, OR 97324 97132‐3406 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 69,881.29 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2002002 Bethel SD 7J 52 Business Manager PO Box B Alsea0000 Xxxxxx Xxxxx Eugene, OR 97324 97402 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,501.03 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0305002 Estacada SD 7J Business Manager PO Box B Alsea000 XX 0xx Xxxxxx Xxxxxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 47.15 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1502001 Butte Falls SD 7J 91 Business Manager PO P.O. Box B Alsea228 Butte Falls, OR 97324 97522 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

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Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 405.39 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3109001 Imbler SD 7J 11 Business Manager PO Box B Alsea164 Imbler, OR 97324 97841 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,126.07 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3601002 Amity SD 7J 4J Business Manager PO Box B Alsea000 X Xxxxx Xx Xxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,349.60 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1019003 Sutherlin SD 7J 130 Business Manager PO Box B Alsea531 E Central Sutherlin, OR 97324 97479 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 56,932.56 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2706001 Falls City SD 7J 57 Business Manager PO Box B Alsea000 X Xxxx Xxxxxx Xxxxx Xxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 13,453.66 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2419011 St. Xxxx SD 7J 45 Business Manager PO Box B Alsea00000 Xxxx Xx. XX Xx. Xxxx, OR 97324 97137 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 36,451.96 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1308001 Xxxxxx Co SD 7J 3 Business Manager PO Box B Alsea000 Xxxxx Xxxx Burns, OR 97324 97720 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 45,497.19 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1004001 Days Creek SD 7J 15 Business Manager PO Box B Alsea10 Days Creek, OR 97324 97429 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 5,754.43 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1007001 Glendale SD 7J 77 Business Manager PO Box B AlseaE Glendale, OR 97324 97442 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,612.74 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3402001 Banks SD 7J Business Manager PO Box B Alsea00000 XX Xxxx Xxxxxx Xxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 4,804.50 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2603013 Xxxxxxx SD 7J 39 Business Manager PO Box B Alsea00000 X Xxxxxxxx Xxxxxxxx Xxxxx Xxxxxxx Xxxxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,778.17 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0102001 Xxxxx SD 7J 5J Business Manager PO Box B Alsea0000 0xx Xx. Baker City, OR 97324 97814 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,260.08 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2509001 Xxxx SD 7J R2 Business Manager PO P.O. Box B Alsea167 Ione, OR 97324 97843 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,341.66 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea SD 7J 1303002 Crane Union High School Business Manager PO Box B Alsea43277 Crane‐Venator Xx Xxxxx, OR 97324 97732 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 11,058.14 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2413003 Mt. Angel SD 7J 91 Business Manager PO Box B Alsea1129 Mount Angel, OR 97324 97362 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,150.48 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2010001 Junction City SD 7J 69 Business Manager PO Box B Alsea000 Xxxxx Xxxxxx Junction City, OR 97324 97448 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 7,993.54 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0314001 North Clackamas SD 7J 12 Business Manager PO Box B Alsea00000 XX Xxxxxxx Way Milwaukie, OR 97324 97222‐4799 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,025.30 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3519001 Spray SD 7J Business Manager PO Box B Alsea230 Spray, OR 97324 97874 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 155,565.69 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 0902001 Bend/XxXxxx SD 7J Business Manager PO Box B Alsea000 XX Xxxx Xxxxxx Xxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 126.37 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3304001 Dufur SD 7J 29 Business Manager PO Box B Alsea000 XX 0xx Xxxxxx Xxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 1,127.05 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3019001 Xxxxxxxxx SD 7J 61 Business Manager PO Box B Alsea0000 Xxxxx Xxxx Stanfield, OR 97324 97875 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,097.60 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea SD 7J 1805001 Eagle Ridge High Business Manager PO Box B Alsea000 Xxxxx 0xx Xxxxxx Klamath Falls, OR 97324 97601 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 733.60 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1501002 Ashland SD 7J 5 Business Manager PO Box B Alsea000 Xxxxxxxx Xxxx. Ashland, OR 97324 97520 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,086.80 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1103001 Xxxxxx SD 7J 25J Business Manager PO Box B Alsea000 X.Xxxxxx Condon, OR 97324 97823 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 409.04 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2019007 Springfield SD 7J 19 Business Manager PO Box B Alsea000 X Xxxxxx Springfield, OR 97324 97477 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 12,776.94 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2003009 Crow‐Applegate‐Xxxxxx SD 7J 66 Business Manager PO Box B Alsea00000 Xxxxxxxxxxx Xxxx Eugene, OR 97324 97402 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 6,927.85 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3319001 South Wasco Co SD 7J Business Manager PO P.O. Box B Alsea346 Maupin, OR 97324 97037 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,737.19 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3008005 Hermiston SD 7J 8 Business Manager PO Box B Alsea000 XX 00xx Xx Hermiston, OR 97324 97838 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 7,105.47 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1213001 Monument SD 7J 8 Business Manager PO P.O. Box B Alsea127 Monument, OR 97324 97864 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 $ 510.85 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1503002 Jackson County SD 7J #6 ‐ Central Point Business Manager PO Box B Alsea0000 Xxxxxxxxx Xxxxxx Xxxxxxx Xxxxx, OR 97324 XX 00000 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 22,076.14 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 3103003 Cove SD 7J 15 Business Manager PO Box B Alsea68 Cove, OR 97324 97824 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 80,671.46 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1408001 Hood River SD 7J Business Manager PO Box B Alsea0000 Xxxxxx Xxxxxx Hood River, OR 97324 97031 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 8,325.40 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 2005005 Xxxxxx SD 7J 4J Business Manager PO Box B Alsea200 N MONROE EUGENE, OR 97324 97402 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

Reporting Form. Instructions: • Complete the information requested for the state match transfer • Sign and date this form • Provide documentation of the transfer of funds from General Fund to the Non‐Profit School Food Service account. Documentation needs to show exact amount of required State Match. This may require a journal entry marked “State Match Requirement” • Return to: xxx.xxxxxxxxxxxxxxx@xxx.xxxxxx.xxx Subject: State Match • Retain a copy of this form and the supporting documentation for record keeping purposes The amount of state appropriated general purpose or undesignated revenues that must be transferred to the Non‐Profit School Food Service account in order to meet the general cash assistance match for SY 2022‐23 is: $1,574.96 2,799.14 The required match was made by: Fund Transfer from General Fund to the Non Profit Food Services Account: Date Amount Agreement: 0201001 Alsea 1707001 Grants Pass SD 7J Business Manager PO Box B Alsea000 Xxxx Xxxxxx Grants Pass, OR 97324 97526 National School Lunch Program State Revenue Matching

Appears in 1 contract

Samples: Agreement

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