Fillable Form 2020: Arizona State Land Department (Arizona)

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Form 2020: Arizona State Land Department (Arizona)

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Arizona State Land Department
NRCD ENVIRONMENTAL EDUCATION CENTER
Direct Payment
Due Date: June 20
th
2020
District: ________________________________________________________________________________________ Acres: _______________
Mailing Address: __________________________________________________________________________________ Zip: ________________
ENVIRONMENTAL EDUCATION 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 $60,000) (ESP Funds)
$______________________________________________
(identify source)
EXPENDITURES
OFFICE OPERATIONS
per diem and travel $____________________ $____________________
salaries and related expenses $____________________ $____________________
$____________________ $____________________
EDUCATION ACTIVITIES
• newsletter, annual report, annual plan $____________________ $____________________
• dues $____________________ $____________________
• contributions $____________________ $____________________
• education program $____________________ $____________________
• conference expenses $____________________ $____________________
CAPITAL INVESTMENTS
office and other equipment over $5000 in value
(attach detail) $____________________ $____________________
TOTAL EXPENDITURES
• FROM STATE FUNDS $____________________
• FROM CENTER FUNDS $____________________
At an official meeting of the _______________________________________NRCD 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 was approved by the following quorum of members whose signatures appear below:
NRCD SIGNATURE DISTRICT OFFICE TITLE
_________________________________________________________________ _________________________________________________
_________________________________________________________________ _________________________________________________
_________________________________________________________________ _________________________________________________
(Three signatures required.)
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Form 2020: Arizona State Land Department (Arizona)

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Completed 27 January 2021

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