[Institution Logo]

[Institution Name/Address]

INVOICE

TO:Peralta Community College DistrictInvoice No.: ______

333 E 8th Street Invoice Date: ______

Oakland, CA 94606Amount*: $ ______

ATTN: Lilian Pires, CCPT District Accounting Technician,

Finance Department

Email:

For California Career Pathways Trust Project, Fiscal Year: July 1, ______through June 30, ______,

for actual expenditures incurred and delivered in the following quarter:

[ ]Q1: Jul.1 – Sept.30 [ ]Q2: Oct. 1 – Dec. 31 [ ]Q3: Jan. 1- Mar. 31 [ ]Q4: Apr.1 –Jun. 30

Check payable to: ______

Your Contact’s Full Name: ______

Contact’s Title: ______

Contact’s Telephone no.: (_____) ______-______

*Attachments to include with this invoice:

[ ] Invoice Addendum

[ ] Fiscal Report Narrative

[ ] Detailed G/L or Fiscal Report (must showpayee, payment date, voucher/check #, payment amount, anddetailed transaction description)

[ ] Copies of Paid Invoices/Receipts: Travel/conferenceexpenses (must be submitted regardless of local policy)

[ ] Copies of Paid Invoices and/or Receipts: Itemized costs over $200.00 (from detailed G/L or Fiscal report)

[ ] Copies of Paid Invoice(s) for Capital Outlay purchases (must have already requested and received approval from CDE prior to purchasing)

[ ] Copy of Inventory Record of CPT Equipment Purchases of $500.00 and over (equipment must be tagged “Purchased with CA Career

Pathways Trust (CCPT) Funds”).

MISCELLANEOUS CPT NOTES

Capital Outlay Purchases:

  • In order to invoice for capital outlay, you must have already requested to purchase capital outlay and received CDE approval for capital outlay purchases of $5,000.00 and over. Please notify Peralta of yourrequest to purchase capital outlay and we will send you the necessary forms to complete.

Non-allowable Activities and Costs:

  1. Excerpt from the CCPT RFA, funds provided under this grant may not be used to:
  • “Supplant existing funding or efforts, including costs otherwise necessary to operate a school or program without this grant;
  • Provide sub-grants to members of the partnership or other agencies. This includes mini-grants, which are different than purchase service contracts;
  • Acquire equipment for administrative or personal use;
  • Purchase furniture (e.g., bookcases, chairs, desks, file cabinets, tables) unless it is an integral part of an equipment workstation or to provide reasonable accommodations to students with disabilities;
  • Purchase food services/refreshments/banquets/meals;
  • Purchase facilities;
  • Remodel facilities not directly related to accessibility to career pathways instruction or services;
  • Purchase promotional favors, such as bumper stickers, pencils, pens, or
    T-shirts;
  • Purchase subscriptions to journals or magazines;
  • Travel outside of the United States;
  • Provide activities or services for students not enrolled in a career pathways program”
  1. Per the CDE’s e-mail dated October 8, 2015 to the Fiscal Agents:
  • “CCPT funds should not be used, either directly or indirectly, to pay students a stipend, wage or scholarship for the work performedat internships and other work experience opportunities.”
  1. Per the CCPT MOU Agreement, Section 3.2, page 11 & Exhibit E, page 41:
  • “Out-of-State Travel/Out-of-Country Travel are not allowed.”

CPT Quarterly Invoice12/11/15Page 1