County of
CAMDEN
State of Missouri
SENIOR CITIZENS' SERVICES FUND BOARD
End-Year Performance to Budget Report
Organization Name:
Contact Email:
EXHIBIT D
This Form is Due No Later Than Jan. 15 of the Contract Year
Complete a report using the Expense Item titles used on page 3 of the RFP submitted in November for the period Jan.1 – Dec. 31.
TOTAL UNDUPLICATED NUMBER OF CAMDEN COUNTY SENIORS SERVED DURING THE CONTRACT YEAR:
Camden Co. FUNDs received Jan. 1 – Dec. 31: $
Expense Item Itemize expenses to fit service provided.
$ Camden Co. FUNDs Expended
Example: Personnel Salaries
Total EXPENDED Funds
Camden Co. FUNDs as of Dec. 31
Add Additional Expense Row
Submit
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