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
ENVIRONMENTAL SPECIAL PLATE (ESP) FUNDS APPLICATION
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 $5,000) (identify source)
$
(identify source)
EXPENDITURES
SUPERVISORS EXPENSE
per diem and travel $ $
OFFICE OPERATIONS
salaries and related expenses $ $
$ $
CONSERVATION PROGRAMS
• newsletter, annual report, long-range plan,
annual plan, supervisor election $ $
• dues: NACD, AZNRCD, RC&D $ $
• contributions $ $
• youth education program $ $
• conference expenses $ _ $
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 r evenu e s a nd expenses was reviewed and approved and a request for Environmental Special Plate 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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