EcoAction successful recipients: In-kind contribution record form
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Refer to the Recipient's Handbook for more information.Project #:
I/we certify that the following in-kind services were provided for this project:
Contributing Partner's Name:
Contributing Partner's Signature:
|Type||Description of Services Provided||Date of Services Provided||No. of Units(e.g., Number of people)||Unit Cost (e.g, wage rate)||Duration (e.g, No. of Hours)||$ Value|
Please Note: Please ensure that each contributing partner is represented by a separate In-Kind Contribution Record.
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