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: $


Installation Cost Per Detector: +

Total Cost Per Detector: =

($6000 per unit cost allowance)



Number of Detectors Installed:
x

Total Cost Per Building: =

 

Superintendentís 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