The University of the State of New York
THE STATE EDUCATION DEPARTMENT
Office of Facilities Planning, Room 1060 EBA
Albany, NY 12234
Telephone: (518) 474-3906 / Fax No.: (518) 486-5918
Special Cost Allowance for Purchase of Metal Detectors
Claim for Aid
Complete this claim and return two (2) copies for expenses incurred for the purchase of metal detectors installed in a student occupied building. A separate claim form is required for each building.
School District: County:
Contact Person: Title:
Address:
Telephone: ( )
Name of Building:
Project Control Number: ¨ ¨ -¨ ¨ -¨ ¨ -¨ ¨ -¨ -¨ ¨ ¨ -¨ ¨ ¨
Vendor: Date of Purchase:
Equipment Cost Per Detector: $
Total Cost Per Detector: =
($6000 per unit cost allowance)
Total Cost Per Building: =
Superintendent’s Certification: I hereby certify that the expenditures claimed on this form have been made and include expenditures as provided by Section 3602, Subdivision 6-C of the Education Law. The information contained in this report is true and correct to the best of my knowledge.
Signature of Superintendent of Schools Date
|
FOR SED USE ONLY Maximum Cost Allowance -- $6,000 per unit Number of Units Installed -- Maximum Cost Allowance for Building --
Approved by: Facilities Planning Date |
cc: State Aid Unit