REQUEST FOR PAYMENT

Klee FoundationTHE CONRAD AND VIRGINIA KLEE FOUNDATION

KLEE REQUEST FOR PAYMENT



RE: Grant#, purpose, and date awarded:




AGENCY:

DATE:

AMOUNT OF PAYMENT :


Grant payment requests are processed and approved monthly. Checks are generally issued within a week after approval, barring unforeseen circumstances. Please keep this information in mind when submitting your request.


FUNDS NEEDED BEFORE (Date):


A copy of our current approved budget,
   
 

NAME & TITLE:


Name & Title Signature



For project grants only, please note: Before release of payment, the Foundation will need to receive an accounting of expenses paid for by the grant. Please include the following:

  • A brief narrative summarizing progress on the project to date
  • A summary of expenses (may be by category) signed by the Finance Officer or Executive Director
  • Copies of invoices or bills for items exceeding $1,000
      (does not apply to capital campaign grants)
  • For a challenge grant, the request must include documentation of achieving the match.

50 Years of Service