Grant Request Form
Friends of the Betsie Valley Trail

(December 1, 2007)

  Requesting Organization: _____________________________________________________________
  Project Title: ________________________________________________________________________
  Project Description:



                                                                                     Total Cost: $_____________________*

   FBVT Portion:


                                                                                         Amount Requested: $_______________*
  Partners: ___________________________________________________________________________
  Contractor: _________________________________________________________________________
  Start Date: __________________________ End Date: ______________________________________
  Funds needed by:______________________

      *Please itemize on another sheet to attach.

       Signature: ________________________________________        Date:____________________

   FBVT Action (approval/denial, Board meeting date, discussions, etc.):


                                                                                      Amount Approved: $_________________

                                                                                      Date Disbursed: ____________________

   Grant Number: _______  Signature: ____________________________   Date: _________________

   BVTMC Approval:         Signature: _____________________________ Date: _________________

   Completion Report (how funds were spent, completion date, quality of contract work, etc.):

 

                                                                                       Amount Expended: $_________________
                                                                                       Amount Returned: $__________________

                                      Signature: ____________________________ Date: __________________

  (See the Grant Policy page for the FBVT policy on grants.)  Send completed form to FBVT President, PO Box 474, Beulah, MI 49617-0474.
 

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