IK-1 3/9/18
Dates of Match: Value:
Description:
In-Kind Match Certification*
Project Name:
____________
I CERTIFY THAT NONE OF THESE EXPENDITURES WERE FUNDED FROM FEDERAL SOURCES.
In-Kind Donor Principal Investigator
Signature
______________
Typed Name
Date
Signature
______________
Typed Name
Date
Form IK-3 Internal In-Kind Matching Summary Form must accompany this form.
*The Principal Investigator must send a copy of forms IK-1 and IK-3 to
the project bookkeeper and Grant Accounting on a monthly basis.
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