Full Text
Big Sky Economic Development Trust Fund Program Application Guidelines Montana Department of Commerce Appendix H, Page 1 2009 Category I – Economic Development APPENDIX H: BUDGET FORM MONTANA DEPARTMENT OF COMMERCE BIG SKY ECONOMIC DEVELOPMENT TRUST FUND (BSTF) DETAIL USE OF BSTF PROPOSED FUNDS ONLY ON THIS FORM, NOT TOTAL PROJECT COST SECTION I - APPLICANT INFORMATION Contract # TAX ID# DATE MT-BSTF- - - NAME AND ADDRESS OF APPLICANT ELECTRONIC PAYMENT INFORMATION City of Missoula - 435 Ryman St. Missoula, MT 59802 FINANCIAL INSTITUTION: ROUTING NUMBER: ACCOUNT NUMBER: SECTION II: FINANCIAL INFORMATION Budget Line Item Proposed Project Budget Approved Budget 1. Total Professional Services 2. Personnel Costs 3. Legal 4. Travel 5. Supplies 6. Telephone 7. Printing / Postage 8. Other (please specify) Working Capital 21,375 Admin 1,125 9. TOTAL GRANT BUDGET 22,500 REMARKS SECTION III: APPLICANT CERTIFICATION CERTIFICATION OF AUTHORIZED REPRESENTATIVE: I certify that the above information and any attachments thereto are complete and accurate to the best of my knowledge and belief. X Mayor John Engen SIGNATURE NAME AND TITLE DATE SECTION IV: DEPARTMENT OF COMMERCE CERTIFICATION Expenditures are reasonable & appropriate Approved by: Financial numbers & signatures are correct Title: Administration does not exceed allowable amount Date: DETAIL USE OF BSTF PROPOSED FUNDS ONLY ON THIS FORM, NOT TOTAL PROJECT COST