HomeMy WebLinkAboutExpenditure Request Certification (OWR4) EXECUTED REVISEDState of California
Department of Resources Recycling and Recovery
SB 1383 Local Assistance Grant Program (FY2022-23)
Expenditure Request Certification
Complete the requested information. All fields are required.
Grantee Name City of Palm Desert
Grant Number OWR4-22-0104
Expenditure Request Number 02
Expenditure Amount $34,745.80
Expenditure Start Date October 1 2024
Expenditure End Date April 1, 2025
I certify under penalty of perjury, under the laws of the State of California, that I have
read the SB 1383 Local Assistance Grant Program (OWR4) Procedures and
Requirements and Terms and Conditions, that the submitted expenditure information is
correct, and that all funds received under the Program have been expended in
accordance with the Procedure and Requirements and Terms and Conditions.
S-ce- 2 S
Si ure of Signature Authority or Authorized Designee Date
Chris Escobedo Interim City Manager
Print Name Title
IMPORTANT! Grantee must obtain signature of authorized signatory (as authorized in
the Resolution or Letter of Designation), upload the signed document to GMS with the
Expenditure Itemization Summary, and retain the original document in your grant file.
SB 1383 Local Assistance Grant Program (OWR4), FY 2022-23