Disbursement category Contract Procurement Contract Supplier Nationality Zip Contract Date of Amount Amount page Expenditure

to dat Type
Description Method/ii Number Contractor Code Value signing Invoice to

Date
No Description
Goods
 Actual Planned Variance PAD/ iii
Current Year-to Cumulative Current Year-to Cumulative Current Year-to Cumulative Life of
Quarter/i Date To-Date/ii Quarter/i Date To-Date/ii Quarter/i Date To-Date/ii Project

Opening Cash Balance

Project Bank account
IDA Special Account
GEF Special Account
Total
Add:
Source of Fund
EVN Funds
IDA Funds
GEF
Co-Financing
Total
Foreign Exchange Difference
Less
User of Funds
Goods
Works
Consultants’s Services and Training
Other/ iv
Total
Closing Cash Balance
Project Bank Account
IDA Special Account
GEF Special Account
Total
NOTES
 Contract Seclection Contract Consultant Nationality Zip Code if Contract Value of Amount Amount paid to Expenditure
Method/ii Number/iii U.S. Currency Cotract Invoiced to date Type/iv
date
No Description