Fillable GRANT OR COOPERATIVE AGREEMENT MONITORING STATEMENT I. MONITORING (Office of Surface Mining)

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GRANT OR COOPERATIVE AGREEMENT MONITORING STATEMENT I. MONITORING (Office of Surface Mining)

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U.S.A. forms for Office of Surface Mining

BROWSE OFFICE OF SURFACE MINING (DC) FORMS

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GRANT OR COOPERATIVE AGREEMENT MONITORING STATEMENT
Recipient Name ___________________________________________________________
Grant Number ________________
I. MONITORING ACTION PERFORMED (For example, Review of financial status report dated
2/15/10 for period 1/1/09 - 12/
31/09)
II. FIN
DINGS
III. RECOMMENDED ACTIONS
MONITORING OFFICIAL ________________________________________ ______________
(Signature) Date
__________________________________________________________
(Printed or Typed Name, Organization, and Telephone No.)
Attach Additional Sheets If Necessary
Distribution: Grant File
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GRANT OR COOPERATIVE AGREEMENT MONITORING STATEMENT I. MONITORING (Office of Surface Mining)

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Completed 10 August 2020

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