REQUEST FOR PAYMENT OF OPERATING GRANT

Klee FoundationTHE CONRAD AND VIRGINIA KLEE FOUNDATION

REQUEST FOR PAYMENT



RE: Grant # for annual operating expenses




AGENCY:

DATE:

AMOUNT REQUESTED :


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:
    is attached    was sent previously.




NAME & TITLE:

Name & Title Signature

Please call the Foundation with any questions:  607-722-2266 
50 Years of Service