Guidelines for Grant and Contract Management

404E. Cost Sharing Expenditure Report

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Exhibit D

Project Title:
PI Name:
Institution Name:
Reporting Period:
 
Company or other Sponsor Name, Address, Phone, & Contact Person Cost Sharing Expenditures for Period in $
     
1. Institution Name
Address line 1
Address line 2
Phone: xxx-xxx-xxxx
Contact Person Name 		Budget Category



Total:		 Actual Exps. Incurred



$
 
2.



 Budget Category



Total:		 Actual Exps. Incurred



$
     
3.



 Budget Category



Total:		 Actual Exps. Incurred



$
     
4.



 Budget Category



Total:		 Actual Exps. Incurred



$
     
5.



 Budget Category



Total:		 Actual Exps. Incurred



$
     
6.



 Budget Category



Total:		 Actual Exps. Incurred



$
 
  Total Cost Share Expenditures this period:
    $
 
Name and Title (please type)
Contract Officer


 Signature Date

 
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