Request for Disbursement of Contributions Form

• File Number: 8561.650
• Description: Finance ‎(Billing, Suspense Docs, Ectr)‎
• State: CO
• Basin: South Platte
• Water Division: 1
• Date: 1/1/3000
• Author: Governance Committee
• Title: Request for Disbursement of Contributions Form
• Water Supply Pro - Doc Type: Contract/Agreement

ATTACAMENT I
Request for Disbursement of Contributions
To: The Nonprofit Faundation '
From: The Governance Committee through the Executive Director
Subject: Disbursement of Contributions, Cooperative Agreement No. 99-FC-60-11870,
Technical and Administrative Support to the Governance Committee and Executive
Director for the Platte River Endangered Species Partnership '
Please disburse contributians in the amount(s) shawn below to the indicated parties
Party Amount
A. the Bureau of Reclamation $
B. the State of Colorado $
C. the State of Nebraska $
D. the State of Wyoming $
E. $
F. $
for the following purpose/reason:
Approval(s):
Executive Director Date
Grants and Cooperative Agreements Officer's Date
Technical Representative
(required if Federal funds are disbursed)
cc: The Governance Committee
Grants and Cooperative Agreements Officer