ࡱ> ! Fɀ\pjdecolan of Mental Health Ba==xx-8X@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)                + ) , *     @@  @  (@  ( @   @  @ @  @  (@  ( @   @  "@@ !8"@ !0"@  "@  " @     " `XSheet1KSheet2RSheet3  ;* `i5*&2STATE OF NEW JERSEY - DEPARTMENT OF HUMAN SERVICES#OFFICIAL CONTRACT AWARD SUMMARY ** AWARD SUMMARY(3) Remaining Balance (1 - 2)(2) YTD cost per ROE(1) Approved DMHS Cost TOTAL COST DMHS PROGRAMSPROGRAM COST CENTERS:0Quarter: (1) (2) (3) (4) (Final Report)'Report Period: __________ to __________)Contract Period: __________ to __________#Agency Fiscal Year End: ___________Contract: _____________7Agency: _______________________________________________CERTIFICATION: "WE CERTIFY THAT ALL FINANCIAL AND STATISTICAL INFORMATION REPORTED IN THE ATTACHED DOCUMENT AND/OR DISK FILE IS CURRENT,i REIMBURSEMENT MANUAL, AND DHS CONTRACT POLICY & INFORMATION MANUAL." ACCURATE, AND IN ACCORDANCE WITH THE PROVISIONS OF THE GOVERNING APPROVED CONTRACT DOCUMENTS, DHS CONTRACT( Signature of Preparer4 Signature of Authorized Agency Official .Signature of Designated Governing Board Member DateFRINGE BENEFIT ALLOCATION:Employee Fringe Benefit expenses were assigned to multiple programs by a Direct-Costing method (D), or allocated by program as a Percentage (P) ACCOUNTING BASIS:dIndicate (circle) the basis of accounting utilized to record expenses and revenues in this Report: Expenditures: Revenues: (cash basis) (full accrual basis)(modified accrual basis) ***ACCRUED VACATION EXPENSE:Employee accrued, or unused, vacation benefits are treated as an accounting period liability, however it is not an allowable DMHS contract expenditure.tYour certification below indicates that no accrued vacation benefits have been charged to this DMHS contract report.7** Submitted with each Report of Expenditures / Income{*** Expenses are paid, and revenues collected, for the contract term, within 90 days after the end of the contract period.Sof total salaries and wages. Please circle the method used, (D) or (P) .$ (other method - please explain)*     Fɀ +^N  MbP?_*+%,&?'?(?)?MHP LaserJet 11004C od,,LetterDINU"47#"U,,U} U} }  } q+  ; ; , , , ;  ;  , ; J  , , ;  , , ;  , , ;  ; , ; @ @ ; , (((((((((( ((((((((((       ! "####$%                        &  $ &  &    % &    % &  !8**462***FF! ;" ;# ;% ; & ,( ; ) ,* , !& "& #& % %% &' & & ( ) )" *#\0*>@   7 Fɀ   MbP?_*+%,",??U>@7 Fɀ    MbP?_*+%,",??U>@7 Oh+'0HPd  Bill GatesDivision of Mental HealthcrMicrosoft Excel@Y@g@`GY՜.+,0 PXp x The Evil EmpireA Sheet1Sheet2Sheet3Sheet1!Print_Area  Worksheets Named Ranges Root Entry F(bWorkbookYSummaryInformation(DocumentSummaryInformation8