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COMMUNITY DEVELOPMENT DIVISION Quality Schools Grant Program 301 S. Park Ave. P. O. Box 200523 Helena Montana 59620-0523 Phone 406-841-2770 Fax 406-841-2771 TDD 406-841-2702 http //commerce. mt. gov/QualitySchools PLANNING GRANT DRAW REQUEST FORM On behalf of the a request is School District hereby made for a draw of funds from the Quality Schools Grant Program. Contract Number in the amount of REQUESTED BY Signature of Authorized Representative Title Name printed or typed Date Please attach all relevant invoices detailing your request for payment to the completed Drawdown Request Form. Remember that payment requests must be accompanied by a completed Project Progress Report. Mt. gov/QualitySchools PLANNING GRANT DRAW REQUEST FORM On behalf of the a request is School District hereby made for a draw of funds from the Quality Schools Grant Program. Contract Number in the amount of REQUESTED BY Signature of Authorized Representative Title Name printed or typed Date Please attach all relevant invoices detailing your request for payment to the completed Drawdown Request Form. Remember that payment requests must be accompanied by a completed Project Progress Report. Retain a photocopy for your records and mail the original to Community Development Division Montana Department of Commerce PO Box 200523 Helena MT 59620-0523 DRAWDOWN REQUEST FORM. COMMUNITY DEVELOPMENT DIVISION Quality Schools Grant Program 301 S* Park Ave. P. O. Box 200523 Helena Montana 59620-0523 Phone 406-841-2770 Fax 406-841-2771 TDD 406-841-2702 http //commerce. mt. gov/QualitySchools PLANNING GRANT DRAW REQUEST FORM On behalf of the a request is School District hereby made for a draw of funds from the Quality Schools Grant Program* Contract Number in the amount of REQUESTED BY Signature of Authorized Representative Title Name printed or typed Date Please attach all relevant invoices detailing your request for payment to the completed Drawdown Request Form* Remember that payment requests must be accompanied by a completed Project Progress Report. Retain a photocopy for your records and mail the original to Community Development Division Montana Department of Commerce PO Box 200523 Helena MT 59620-0523 DRAWDOWN REQUEST FORM.

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