BUDGET AND FINANCIAL REPORTING TEMPLATE - GENERAL INSTRUCTIONS

Please read these instructions carefully before using this tool for LoAs.

These templates have been created for use by the Service Providers (and LoA Managers) working with
LoAs. Each of the tabs includes a template for the various forms that are required in LoA transactions from
preparation to payments, to closing. There are cross-references and linkages across the sheets and the
values of some tables are populated from the values of the initial input-based budget. Care has been taken
to make the tables easy to copy and paste in an A4 MS Word document and also to print directly from Excel.
Please note that next to each table you will find specific instructions on how to fill it in.

Please note that each one of the templates has a specific purpose: the Input-based LoA budget and the Final
Financial Report are to be filled in at the preparation stage and at the closure of the LoA respectively. The
Statements of Expenditures and the Request for pre-financing are two intermediate tools used to claim
funding throughout the duration of the LoA. Please read carefully the instructions below to understand when
to use each template.
Tab 2: Contacts & Payment history
Please insert here the contact information for the Service Provider and the FAO LoA management as stated
in the countersigned LoA, and periodically update the history of the payments received from FAO. This
information will be automatically inserted in all the parts of the financial template.
Tab 3: Input-based LoA budget

This table is for the estimated maximum (not to exceed) value of the LoA. You are reminded that this is a
MAXIMUM value and not the exact sum to which the Service Provider is entitled. It needs to first and
foremost contain all the inputs with precise information on unit costs and quantities. This should be used as
the budget for the financial offer of the Service Provider to FAO. In case the selection is not done though a
competitive process, the submitted budget will form a basis for negotiations between the LoA Manager and
the Service Provider. The final agreed budget should be added by the LoA Manager to the LoA main
document (Word version).

Tab 4: Request for Pre-financing/Interim payment

Any requests by the Service providers for advance payments (payments prior to actually incurring the
expense) need to be justified to FAO by using this form. It should be submitted to the Officer indicated in
paragraph 6e of the signed LoA. In order to receive pre-financing from FAO, the Service Provider must fill in
this table with the estimated costs for the actions requiring pre-financing, breaking down the amount by
category of expenses. The LoA Manager should verify that the request is justified and proportionate to the
costs of the activities that require pre-financing, and should ensure that the costs within each category do
not exceed the agreed values of the initial budget. The Service Provider may request pre-financing at the
beginning of the LoA activities. During the course of the LoA, no other pre-financing request can be
considered by FAO without prior receipt from the Service Provider of the financial statement and the
supporting documentation (see below) that prove that the funds received thus far have been totally
expended.

Tab 5: Statement of expenditures & request for reimbursement (also Tab 7, 8, 9, 10, 11, 12, 13 and 14)

Throughout the duration of the LoA, the Service Provider may request reimbursements for the expenses
which they have actually incurred, using this form. This table needs to be filled in by the Service Provider and
submitted to the Officer indicated in paragraph 6e of the signed LoA. Keep in mind that for each new
Statement of expenditures, you must fill in a new form. You can find more copies of the Statement to be filled
in starting from Tab 7 of this workbook. The total expenses accrued up to the date of the statement, net of
any funds previously received by FAO will be the amount payable by FAO to the Service Provider. The LoA
Manager should check: a) that the statement is accurate b) that the supporting evidence and documentation
of the expenses are adequate and reflect the claim c) that the statement is in line with the original estimates
and that any deviations are justified and documented.

Tab 6: Final financial statement

This table represents a summary of all expenses which have actually been incurred by the Service Provider
during the LoA duration. This document is to be used for the final settlement of the expenses incurred during
the LoA operational period. Please keep in mind that the expenses declared here have to be consistent with
the amounts inserted in the previous Statements of expenditure and that, in case of an audit, the Service
Provider and/or the FAO LoA Manager will be asked for supporting evidence for the expenses declared. FAO
cannot pay more than the maximum financial liability agreed in the LOA and any subsequent amendments.
Any significant deviation/ redistribution of expenses across the major budget categories of expenses should
be justified.

Page 1
during the LoA duration. This document is to be used for the final settlement of the expenses incurred during
the LoA operational period. Please keep in mind that the expenses declared here have to be consistent with
the amounts inserted in the previous Statements of expenditure and that, in case of an audit, the Service
Provider and/or the FAO LoA Manager will be asked for supporting evidence for the expenses declared. FAO
cannot pay more than the maximum financial liability agreed in the LOA and any subsequent amendments.
Any significant deviation/ redistribution of expenses across the major budget categories of expenses should
be justified.

Page 2
 DETAILS OF THE PARTIES INVOLVED
Service Provider Full Legal Name CENTRE DE RECHERCHES ET D'ETUDES SOCIALES
Street Address 5-7 STREET KHATOUM
City, ST ZIP Code 1002
Country TUNIS
Phone Number 216 71844098
Fax Number 216 71842322
Email boc@cres.tn
Website www.cres.tn
FAO Org. Unit
FAO LoA Manager
Street Address
City, ST ZIP Code
Country
Phone Number
Email address

PAYMENT HISTORY for payments received from FAO

Payment number Amount (in currency) Date
TND - Tunisia Dinar
Payment 1 73,505 10/11/2022
Payment 2 122,509 1/5/2024
Payment 3
Payment 4
Payment 5
Payment 6
Payment 7
Payment 8
Payment 9
…
TOTAL 196,014

Page 3
 Address for correspondence:
CENTRE DE RECHERCHES ET D'ETUDES SOCIALES
5-7 STREET KHATOUM
1002 FAO LoA Manager
TUNIS
216 71844098
Column1 Column2 RESOURCES-BASED LOA BUDGET
Column3 Column4 Column5 Column6
Currency (click and select from list below)
TND - Tunisia Dinar
Cat. Qty (no. of Unit Cost
No.
Items Description Unit of measurement Total Cost
units)
TND TND
1 - Tunisia - Tunisia
HUMAN RESOURCE INPUTS (Staff time and consultants...)
Dinar Dinar
1.1 interviewers Person-months 2 41,710 83,419
1.2 supervisors 0
1.3 IT Expert 0
1.4 0
1.5 0
1.6 0
…
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 computer equipment 3 4,194 12,583
2.2 computer equipment 3 2,119 6,356
2.3 computer equipment 16 1,125 18,000
2.4 0
2.5 0
2.6 0
2.7 0
…
3 TRAVEL (Flights, inland travel...)
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0
3.7 0
…
4 ACCOMMODATION (board and lodging costs…)
4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
4.7 0

5 GENERAL OPERATING AND MAINTENANCE EXPENSES

0
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0

6 training and accommodation HOTEL interviewers

0
6.1 training and accommodation HOTEL interviewers 1 11,777 11,777

Page 4
6.2 0
6.3 0
…
7 events
0
7.1 workshops 1 49,036 49,036
7.2 communication 1 6,200 6,200
7.3 management fees 1 2,054 2,054
…
TOTAL COSTS 189,425
INDIRECT COSTS (IF APPLICABLE) % overhead rate>> 0% 0
FAO'S MAXIMUM FINANCIAL LIABILITY GRAND TOTAL 189,425

Page 5
CENTRE DE RECHERCHES ET D'ETUDES SOCIALE Food and Agriculture Organization of the United
5-7 STREET KHATOUM Nations
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

REQUEST FOR PRE-FINANCING

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE:
Total amount received from FAO to date:
TND - Tunisia Dinar
Expenditure category/item Requested amount Comments/Specifications
HUMAN RESOURCE INPUTS (Staff time and consultants 117,650
EXPENDABLE EQUIPMENT ANCILARY TO SERVICE 46,200
training and accommodation HOTEL interviewers 13,300
events 67,868

TOTAL: 245,018

Date: Name of SP's Chief Accountant (print):

Signature:

Page 6
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 interviewers Person-months 2.00 41,710 83,419
1.2 supervisors 0
1.3 IT Expert 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 computer equipment 3 4,194 12,583
2.2 computer equipment 3 2,119 6,356
2.3 computer equipment 16 1,125 18,000
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

Page 7
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 training and accommodation HOTEL interviewers

6.1 0
6.2 training and accommodation HOTEL interviewers 1 11,777 11,777
6.3 0
6.4 0

7 events
7.1 workshops 0
7.2 communication 1 49,036 49,036

Page 8
7.3 management fees 1 6,200 6,200
7.4 1 2,054 2,054

TOTAL EXPENSES INCURRED TO DATE 189,425

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -6,589

Page 9
CENTRE DE RECHERCHES ET D'ETUDES SOCIALES
Food and Agriculture Organization of the United Nations
5-7 STREET KHATOUM
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

FAO PURCHASE ORDER (PO) FINAL FINANCIAL STATEMENT

NUMBER:
DATE OF ISSUE OF REPORT:
Currency:
TND - Tunisia Dinar
Qty
Cat Items Description Units of measurement (no. of Total Cost
Increase/ Decrease Type of supporting Documentation
No Unit Cost from Original Estimate documentation reference no
units)
USD USD
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - United - United States
1.1 interviewers 2 States Dollar
13,241 Dollar
26,482
1.2 supervisors 0
1.3 IT Expert 0
1.4 0
1.5 0
1.6 0
1.7 0
…
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 computer equipment 3 673 2,018
2.2 computer equipment 16 357 5,714
2.3 computer equipment 0 0 0
2.4 0
2.5 0
2.6 0
2.7 0
…

Page 10
 3 TRAVEL (Flights, inland travel...)
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0
3.7 0
…
4 ACCOMMODATION (board and lodging costs…)
4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
4.7 0
…
5 GENERAL OPERATING AND MAINTENANCE EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
… training and accommodation
6 HOTEL interviewers
6.1 0
training and accommodation
6.2 1 3,739 3,739
HOTEL interviewers
6.3 0
…
7 events
7.1 workshops 1 1,968 1,968
7.2 communication 1 652 652
7.3 management fees 0 0 0
…
TOTAL DIRECT COSTS 40,573
INDIRECT COSTS Overhead rate (if applicable): 0% 0
TOTAL COSTS INCURRED 40,573

Page 11
PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

BALANCE -155,441

Page 12
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 0
1.2 0
1.3 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 0
2.2 0
2.3 0
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

Page 13
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 -------------------
6.1 0
6.2 0
6.3 0
6.4 0

7 -------------------
7.1 0
7.2 0

Page 14
7.3 0
7.4 0

TOTAL EXPENSES INCURRED TO DATE 0

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -196,014

Page 15
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 0
1.2 0
1.3 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 0
2.2 0
2.3 0
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

Page 16
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 -------------------
6.1 0
6.2 0
6.3 0
6.4 0

7 -------------------
7.1 0
7.2 0

Page 17
7.3 0
7.4 0

TOTAL EXPENSES INCURRED TO DATE 0

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -196,014

Page 18
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 0
1.2 0
1.3 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 0
2.2 0
2.3 0
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

Page 19
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 -------------------
6.1 0
6.2 0
6.3 0
6.4 0

7 -------------------
7.1 0
7.2 0

Page 20
7.3 0
7.4 0

TOTAL EXPENSES INCURRED TO DATE 0

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -196,014

Page 21
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 0
1.2 0
1.3 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 0
2.2 0
2.3 0
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

Page 22
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 -------------------
6.1 0
6.2 0
6.3 0
6.4 0

7 -------------------
7.1 0
7.2 0

Page 23
7.3 0
7.4 0

TOTAL EXPENSES INCURRED TO DATE 0

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -196,014

Page 24
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 0
1.2 0
1.3 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 0
2.2 0
2.3 0
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

Page 25
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 -------------------
6.1 0
6.2 0
6.3 0
6.4 0

7 -------------------
7.1 0
7.2 0

Page 26
7.3 0
7.4 0

TOTAL EXPENSES INCURRED TO DATE 0

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -196,014

Page 27
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 0
1.2 0
1.3 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 0
2.2 0
2.3 0
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

Page 28
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 -------------------
6.1 0
6.2 0
6.3 0
6.4 0

7 -------------------
7.1 0
7.2 0

Page 29
7.3 0
7.4 0

TOTAL EXPENSES INCURRED TO DATE 0

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -196,014

Page 30
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 0
1.2 0
1.3 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 0
2.2 0
2.3 0
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

Page 31
3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 -------------------
6.1 0
6.2 0
6.3 0
6.4 0

7 -------------------
7.1 0
7.2 0

Page 32
7.3 0
7.4 0

TOTAL EXPENSES INCURRED TO DATE 0

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -196,014

Page 33
1002
TUNIS
216 71844098
216 71842322
boc@cres.tn
www.cres.tn

LoA INTERIM FINANCIAL STATEMENT AND REQUEST FOR REIMBURSEMENT

FAO PURCHASE ORDER (PO) NUMBER:
DATE OF ISSUE OF STATEMENT:
Currency:
TND - Tunisia Dinar
Cat. Qty Unit Cost
Items Description Units of measurement Total Cost Supporting documentation
NO. (no. of units)
TND TND - (invoice, receipt, timesheet etc.)
1 HUMAN RESOURCE INPUTS (Staff time and consultants...) - Tunisia Tunisia Dinar
Dinar
1.1 0
1.2 0
1.3 0
1.4 0
1.5 0
1.6 0
2 EXPENDABLE EQUIPMENT ANCILARY TO SERVICES
2.1 0
2.2 0
2.3 0
2.4 0
2.5 0
2.6 0

3 TRAVEL (Flights, inland travel...)

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3.1 0
3.2 0
3.3 0
3.4 0
3.5 0
3.6 0

4 ACCOMMODATION (board and lodging costs…)

4.1 0
4.2 0
4.3 0
4.4 0
4.5 0
4.6 0
GENERAL OPERATING AND MAINTENANCE
5 EXPENSES
5.1 0
5.2 0
5.3 0
5.4 0
5.5 0
5.6 0

6 -------------------
6.1 0
6.2 0
6.3 0
6.4 0

7 -------------------
7.1 0
7.2 0

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7.3 0
7.4 0

TOTAL EXPENSES INCURRED TO DATE 0

PAYMENTS RECEIVED FROM FAO TO DATE DATE AMOUNT
PAYMENT 1 10/11/2022 73,505
PAYMENT 2 1/5/2024 122,509
PAYMENT 3 0
… 0
0
0
0
0
0

TOTAL AMOUNT RECEIVED FROM FAO TO DATE 196,014

NET BALANCE TO REIMBURSE -196,014

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