21-6004702

Fed I.D. #

Township of Jackson

Municipality

Ocean

County

Report of Federal and State Financial Assistance Expenditures of Awards

TOTAL 0 \underline{429,621}

Fiscal Year Ending: 12/31/2013 (2)

; 12/31/2013 hline (2)

  1. (2) (3)
  2. Federal Programs Expended (administered by the State)
  3. State Programs Expended Other Federal Programs Expended
  4. 429,621
  5. 162,651
  6. Type of Audit required by OMB A-133 and OMB 04-04:
  7. ___ Single Audit
  8. Program Specific Audit
  9. X____ Financial Statement Audit Performed in Accordance With Government Auditing Standards (Yellow Book)
  10. Note: All local governments, who are recipients of federal and state awards (financial assistance), must report the total amount of federal and state funds expended during its fiscal year and the type of audit required to comply with OMB A-133 (Revised 6/27/03) and OMB 04-04. The single audit threshold has been increased to $500,000 beginning with fiscal year ending 12/31/03. Expenditures are defined in Section 205 of OMB A-133.
  11. Report expenditures from federal pass-through programs received directly from state governments. Federal pass-through funds can be identified by the Catalog of Federal Domestic Assistance (CFDA) number reported in the State's grant/contract agreements.
  12. Report expenditures from state programs received directly from state government or indirectly from pass-through entities. Exclude state aid (I.e., CMPTRA, Energy Receipts tax, etc.) since there are no compliance requirements.
  13. Report expenditures from federal programs received directly from the federal government or indirectly from entities other than state governments.

Date

Signature Of Chief Financial Officer

Sheet 1d

<table><tr><td>项目名称</td><td>患者姓名</td><td>患者民族</td><td>患者地址</td><td>患者联系电话</td><td>患者住址</td><td>患者联系电话</td></tr><tr><td>&lt;ecel&gt;</td><td></td><td></td><td></td><td></td><td></td><td></td></tr></table>