Fillable Form 2020: ARIZONA STATE LAND DEPARTMENT Natural Resource (Arizona)

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Form 2020: ARIZONA STATE LAND DEPARTMENT Natural Resource (Arizona)

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ARIZONA STATE LAND DEPARTMENT
Natural Resource Conservation District
APPLICATION FOR STATE SUPPLEMENTAL FUNDS
Due Date: June 20
th
2020
District: Acres:
Mailing Address: Zip:
CONSERVATION PROGRAM PROPOSED:
FY 2022
REVENUES (1) Budget Request (2) District Funds Anticipated
FY 2022 FY 2022
Begins July 1, 2021 Begins July 1, 2021
$ $
(not to exceed $40,000)
$
(identify source)
(identify source)
$ (identify source)
EXPENDITURES
SUPERVISORS EXPENSE
per diem and travel $ $
OFFICE OPERATIONS
salaries and related expenses $ $
rent, legal and audit fees, insurance and bonds, office
supplies, postage, telephone, office machine repair,
meeting expenses, subscriptions, other (identify) $ $
CONSERVATION PROGRAMS
$ $
$ $
$ $
• newsletter, annual report, long-range plan,
annual plan, supervisor election
• dues: NACD, AACD, (identify)
• contributions (identify)
• youth education program (identify)
$ $
$ $
• conference expenses (identify))
• other (identify)
$ $
EQUIPMENT OPERATIONS $ $
CAPITAL INVESTMENTS
office and other equipment over $5000 in value
(attach detail) $ $
TOTAL EXPENDITURES
•
FROM STATE FUNDS
$
•
FROM LOCAL FUNDS
$
At an official meeting of the District Board convened on the day of
, 2020, the foregoing schedule of revenues and expenses was reviewed and
approved and a request for State supplemental funding in the amount of $ /year
was approved by the following quorum of members whose signatures appear below.
SIGNATURE DISTRICT OFFICE TITLE
(Three signatures required.)
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Form 2020: ARIZONA STATE LAND DEPARTMENT Natural Resource (Arizona)

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Completed 27 January 2021

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