REQUEST FOR PAYMENT for Special Project Grant

Klee FoundationTHE CONRAD AND VIRGINIA KLEE FOUNDATION

REQUEST FOR PAYMENT for Special Project Grant



RE: Grant#, purpose, and date awarded:




AGENCY:

DATE:

AMOUNT REQUESTED :


Grant payment requests are processed and approved monthly. Checks are generally issued within a week after approval, barring unforeseen circumstances. Please keep this information in mind when submitting your request.


FUNDS NEEDED BEFORE (Date):

To the best of our knowledge, all applicable conditions of the contract have been met.






NAME & TITLE:


Name & Title Signature



For special project grants (not including unrestricted operating grants) please note: Before release of payment, the Foundation will need to receive an accounting of expenses paid for by the grant. Please include the following:

  • A brief narrative summarizing progress on the project to date
  • A summary of expenses (may be by category) signed by the Finance Officer of Executive Director
  • IF requested, copies of invoices or bills for items exceeding $1,000*
      (does not apply to capital campaign grants)
  • In the case of a challenge grant, the request must include documentation of achieving the match.

* Please call the Foundation with any questions:  607-722-2266 

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