STATE OF MONTANA FOR DEPARTMENT USE DEPARTMENT OF NATURAL

STATE OF CALIFORNIA C THE RESOURCES AGENCY PRIMARY
 EMPLOYEES’ COMPENSATION DIVISION LABOUR DEPARTMENT STATEMENT OF
 LOGO [NAME OF ORGAN OF STATE] G4(FR) ACCEPTANCE

BILL LOCKYER STATE OF CALIFORNIA ATTORNEY GENERAL DEPARTMENT OF
CHARACTERISATION OF FUEL CELL STATE USING ELECTROCHEMICAL IMPEDANCE SPECTROSCOPY
      STATEMENT ON RESTITUTION

STATE OF MONTANA

STATE OF MONTANA For Department Use

Department of Natural Resources and Conservation Received by ______________

Conservation Districts Bureau Date

Box 201601 Application No.

Helena, MT 59620-1601 Annual Budget Submitted

Conservation Districts Grant Program

District Development Grant Application (cover sheet)

This application consists of 2 pages

STATE OF MONTANA FOR DEPARTMENT USE DEPARTMENT OF NATURAL

Please fill out application in its entirety.


  1. Name of District:


  1. Name of Project:


  1. Amount Requested:


  1. Total Project Cost:


  1. Has your district levied the maximum county mills allowed for the current fiscal year?


No Yes Mill Levy = $ (amount)


Mill Levy verification

Name Title Date

Note: Acceptable signatures verifying a county mill levy includes the county commissioner, treasurer, finance officer, or clerk and recorder. Also acceptable is the annual mill levy verification form.



  1. Has this project been identified in a conservation district plan? (Projects must be part of a CD plan).


  1. Give a brief statement of need, including why the project cannot be funded from present sources of funding. (If the district has not submitted a budget to DNRC for other financial assistance programs for the current fiscal year, a current CD budget must be attached).



  1. Give a brief explanation of your project:





  1. Contact person’s name, address, and telephone number:



  1. This application was approved by the Conservation District Board of Supervisors meeting on the:_________________________________


Revised 2014 Authorized Signature


APPLICATION DETAILS



  1. Why does the District need the funds?









  1. What additional work will the district accomplish if a grant is approved?










  1. At the end of the grant, what are the specific deliverables if this grant is funded?








Budget:


Item/Task Description

DDG Funds

Explanation

Salaries/Benefits (number of hours; hourly rates; type of work)

 

 

Mileage

 

 

Per diem



 

 

Lodging



Communications & printing costs

 

 

Supplies

 

 

TOTAL (double check your calculations)

 

 


2



      VICTIM IMPACT STATEMENT
  FOR DEATH PRIOR TO 01061959 ADMINISTRATION (INTESTATE)
CONFIGURING USER STATE MANAGEMENT FEATURES 73 CHAPTER 7 IMPLEMENTING


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