You are on page 1of 1

FO-59/0

Number of the project: SAMRS/20XX/SG/XX/XX


Name of the project:
Name of the organization:
Local Currency:
Exchange rate:

Expenditures financed from


Price per
Total in EURO
unit in Number TOTAL in local (budget Slovak Agency for Accounting document
Budget items + cost International
Valid claims
Other support and date (invoice,
local of units currency Development cost sharing if
currency sharing) Cooperation
SAMRS confirmed
applicable
payroll sheet,...)
budget

A B C=AxB C : EXCH.RATE E F G text or number


1 0.00 - €
2 0.00 - €
0.00 - €
0.00 - €
0.00 - €
0.00 - €
0.00 - €
0.00 - €
0.00 - €
0.00 - €
0.00 - €
0.00 - €
0.00 - €
TOTAL in EURO 0.00 - € - € - € - €
FIRST INSTALLMENT
FINAL INSTALLMENT

Date and signature of Statutory Representative

You might also like