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["Grant Funds Expenditure Log"]
["(Form CA2E136),effective 03/2014, Rule 1T-1036, 1T-1.039, 1T-1.040"]
["You are responsible for the documentation of all state grant expenditures. Keep track of state grant expenditures as they are made. List only those expenditures that were paid with state grant funds. This is a cumulative record and should be submitted with all reports. Add rows as necessary."]
["Grant #:",null,null,"Organization Name:"]
["Award Amount:",{"$nulls":4},"Payment #"]
["Transaction #","Payment","Payee","Trans. Total","State Funds Used","DCA Budget Category","Description/Deliverable","Deliverable"]
["(debit, check, etc.)","Date",null,null,null,"(personnel, marketing, etc.)",null,"Date Completed"]
{"$rows_empty":14}
[{"$nulls":10},"`"]
[]
[]
[]
[null,null,"Total State Funds Expended:",null,0]
["DCA Program Manager: Minimum performance requirements successfully completed and approved by: _______________________________________ Date:  ____/_____/_____"]