Project Equipment Summary Report

Office of Criminal Justice Programs

(This report is due by July 31^st of each fiscal year)

Project Grant Number:
Report Date:
Project Name:
Agency Name:
Name of Person Completing Report:
Phone Number:
Reporting ID No(victim services only):

This report must be completed for each project. It reflects equipment purchased with grant or match funds in the previous fiscal year of the grant. List the type of equipment, brand name and model number and purchase price for all equipment purchased with grant or match funds.
FUND SOURCE
“All projects must submit this report but only if equipment was purchased during the fiscal year in question”.

List all equipment purchased during fiscal year :

	Type of Equipment	Brand Name and Model Number	Purchase Amount
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
Item 9
Item10

equipmentsummary.htm