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Reporting Institution: FORM A

Month:

1 2 3 4 5 6

No. APPROVED TOTAL PERIOD


ACCUMULATED TO BUDGET BALANCE
LINE ITEMS OBLIGATED PREVIOUSLY EXPENDITURES GH
DATE 3+4 2-5
AMOUNT GH¢ EXPENDED GH¢ ¢
A1 SALARIES 0.00 0.00 0.00 0.00 0.00
1.1 Salaries 0.00 0.00 0.00
A2 FRINGE BENEFITS 0.00 0.00 0.00 0.00 0.00
2.1 Fringe Benefits 0.00 0.00 0.00
A3 CONSULTANTS 0.00 0.00 0.00 0.00 0.00
3.1 Consultant Fees 0.00 0.00 0.00
A4 TRAVEL AND TRANSPORTATION 0.00 0.00 0.00 0.00 0.00
4.1 Vehicle rental 0.00 0.00 0.00
4.2 Fuel 0.00 0.00 0.00
4.3 Transportation 0.00 0.00 0.00
4.4 Per-diem and lodging 0.00 0.00 0.00
A5 OTHER DIRECT COSTS 0.00 0.00 0.00 0.00 0.00
5.1 Office Rent 0.00 0.00 0.00
5.2 Utilities 0.00 0.00 0.00
5.3 Supplies 0.00 0.00 0.00
5.4 Communications 0.00 0.00 0.00
5.5 Printing 0.00 0.00 0.00
5.6 Office Refurbishment 0.00 0.00 0.00
5.7 Activity Costs: Transportation 0.00 0.00 0.00
5.8 Activity Costs: Per-diem and lodging 0.00 0.00 0.00
5.9 Activity Costs: Lunch and snack 0.00 0.00 0.00
5.10 Activity Costs: Venue 0.00 0.00 0.00
5.11 Activity Costs: Stationery 0.00 0.00 0.00
TOTAL EXPENSES 0.00 0.00 0.00 0.00 0.00

Elaborated by: Authorized by:


Reporting Organization: 0 FORM A1
Salaries
Month: 0

1.1
No. Employee Name Check No. Date Salaries Totals
1 0.00
2 0.00
3 0.00
4 0.00
5 0.00
6 0.00
7 0.00
8 0.00
9 0.00
10 0.00
TOTAL 0.00
Reporting Organization: 0 FORM A2
Fringe Benefits
Month: 0

2.1
Check
No. Date Description Fringe Benefits Totals
No.
1 0.00
2 0.00
3 0.00
4 0.00
5 0.00
6 0.00
7 0.00
8 0.00
9 0.00
10 0.00
TOTAL 0.00
Reporting Organization: 0 FORM A3
Consultants
Month: 0

3.1
Consultant
No. Check No. Date Description Totals
Fees
1 0.00
2 0.00
3 0.00
4 0.00
5 0.00
6 0.00
7 0.00
8 0.00
9 0.00
10 0.00
11 0.00
12 0.00
13 0.00
14 0.00
15 0.00
0.00 0.00
Reporting Organization: 0 FORM A4
Travel and Transportation
Month: 0

4.1 4.2 4.3 4.4


Check Per-diem and
No. Date Description Vehicle rental Fuel Transportation Totals
No. lodging
1 0.00
2 0.00
3 0.00
4 0.00
5 0.00
6 0.00
7 0.00
8 0.00
9 0.00
10 0.00
11 0.00
12 0.00
13 0.00
14 0.00
15 0.00
16 0.00
17 0.00
18 0.00
19 0.00
20 0.00
21 0.00
22 0.00
23 0.00
24 0.00
25 0.00
Totals 0.00 0.00 0.00 0.00 0.00
Reporting Organization: 0 FORM A5
Other Direct Costs
Month: 0

5.1 5.2 5.3 5.4 5.5 5.6


Check Office
No.
No.
Date Description Office Rent Utilities Supplies Communications Printing
Refurbishment
Totals

1 0.00
2 0.00
3 0.00
4 0.00
5 0.00
6 0.00
7 0.00
8 0.00
9 0.00
10 0.00
11 0.00
12 0.00
13 0.00
14 0.00
15 0.00
16 0.00
17 0.00
18 0.00
19 0.00
20 0.00
21 0.00
22 0.00
23 0.00
24 0.00
25 0.00
TOTALS 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Reporting Institution: 0 FORM B
Funds Availability
Month: 0

Check
Date Description Deposits Withdrawals Balance
No.
Initial Balance
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL 0.00 0.00 0.00

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