FEDERAL FINANCIAL REPORT Recipient Share Detail FY 2021 |
U.S. Department of Education |
V002A210006 |
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Colorado Department of Education Adult Educational and Family Literacy 201 East Colfax Ave, Room 300 Denver, CO 80203 |
Initial |
From: 07/01/2021 | To: 09/30/2022 | From: 07/01/2021 | To: 09/30/2022 | |||||||||||||||||||||||||||
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10. Certification: By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and intent set forth in the award documents. I am aware that any false, fictitious, or fraudulent information may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 18, Section 1001) |
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e. Signature of Authorized Certifying Official
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Instructions for Recipient Share Detail (RSD)
RSD Box Number |
Reporting Item |
Instructions |
10a |
Date Report Submitted (Month, Day, Year) |
Enter the date the RSD is submitted to the U.S. Department of Education using the month, day, year format. |
10b |
Telephone (Area Code, Number and Extension) |
Enter the telephone number (including area code and extension) of the individual listed in Line 10d. |
10c |
E-mail Address |
Enter the e-mail address of the individual listed in Line 10d. |
10d |
Typed or Printed Name and Title of Authorized Certifying Official |
Enter the name and title of the authorized certifying official. |
10e |
Signature of Authorized Certifying Official |
The authorized certifying official must sign here. |