GRIC 2017_GRANT REPORTING AGREEMENT_PUBLIC HEALTH.PDF

GIIA RIVER INDIAN COMMUNITY
OTRCE OTSPECAL TUNDING
GRANT REPORTING AGREEMENT
october 17,2017
Christine Hicks
Department of Public Health / Office of School Health and Wellness lnitiatives
Community Oietitian Supervisor
4041 N. Central Ave., Suite 700
Phoenix, AZ 85012
Congratulations on your recent grant award from the Gila River lndian Community State Shared
Revenue Program. By accepting the grant, you are agreeing (1) to use Srant funds in accordance with
the proposed budget and purposes identified in your grant application, and (2) to submit annual/final
and any other interim reports that the Gila River lndian Community requires, verifying that grant funds
were expended forthe purposes identified in the grant application. Enclosed you will find the desired
reportint format.
AWARO DETAILS
Approval Date: L0l4/20L7
Project Title: Smoothie Bike
Award Amount: 5,231.44
Grant Term: LO/4/2017 -LO/3/2018 (1year srant)
REPORT SCHEDULE
Dua 0ate ReportlnS Perlod Submit to:
L7/2/2018 10/412017 - 10/3/2018 chcrvl.oablo@rric.nsn.us
or
Offlce of Special Fundlnt
P.O. Box 2172
Sacaton, AZ E5147
ln thr instanc! that the project ls not complete after the last listed reportint date, additional reports
may be requested. Requests for chanBes to the terms of the grant or any budSet modifications must be
presented in writing for concurrence by the Office of Special Funding.
Please siSn below to acknowledge your understanding of the reportinS requirements and return a
scanned copy of the sitned letter to !eI!ie!ggQEfEJ!!.9!. You may also send via USPS.
FOR GILA RIVER INDIAN COMMUNITY: FOR DEPARTMENT OF PUBLIC HEATTH / OFFICE
OF SCHOOL HEALTH AND WEttNESS INITIATIVES:
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Ch!ry| Pablo Signature/Date
Protram Admlnistrator Title:
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