ARCHIVED - Lands and Economic Development Programs - Project Status Report

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Form Instructions

DCI# 472939 (2014-2015)

Recipient Name

Agreement Number

Project Name

Report Date (YYYYMMDD)

From

To

Project Status:

On Target

Behind Plan

Completed (Final Report)

Transaction Activity Number (as identified in "Payment Plan" Annex)

Program (Indicate Program from which funding was received):

AANDC Amount Approved

AANDC Amount Received

Funding Expended to Date

Surplus/Deficit

If the supported project included environmental mitigation measures, as outlined in the terms of reference and/or funding agreement, did these measures have the desired effect/impact?

Provide a narrative report which describes the following:

Project goals as per the terms of reference and funding agreement

Results achieved

Funds received from other sources

Work completed to date

Anything unexpected that positively or negatively impacted the project

Planned future activities

Provide a statement of revenues and expenditures on key activities described in the project.

Attachment(s): Indicate the name(s) of supporting document(s) being submitted and the method of submission.

Name of Supporting Document

Method of Submission

The information provided is accurate to the best of my knowledge.

Given Name

Family Name

Title

Signature
X

Date (YYYYMMDD)

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