Appendix I II

Annual Charity Donation Financial Report

Reference No.:

1. Organization Name / : Name of Responsible Centre

2. Project Title :

3. Project Completion Date :

4. Approved Amount :

5. Advance Payment Released :

6. Total Expenditure

* Please refer to Annex A of the approval letter when compiling the following table.

No. Approved Unit Qty. Approved Actual Actual Actual Invoice / Remarks Item(s) Price ($) Amount (HK$) Unit Qty. Expenses Receipt Price (HK$) Serial No. (HK$)

Total :

1/2 7. Amount of reimbursement claimed * $ .

8. Amount to be refunded to the Board * $ .

9. Cheque made payable to : .

10. We enclose:-  One set of the original invoices and receipts only  One set of the original invoices and receipts plus one set of the certified copies of invoices and receipts (Please return the original invoices and receipts to us after verification)  Quotation / Tender Record Form (Appendix I) plus invitation to quote and the returned quotations / tenders for the Board’s reference.

* Please delete inappropriate ones.

To: The Board of Management of the Chinese Permanent Cemeteries

We understand that no further disbursement claim of the captioned project would be allowed after the submission of the Final Report and the Financial Report. BMCPC may deduct those expenses which are considered as outside the scope of the approved project.

Authorized Signature : with Organization Chop Organization Name : Name of the responsible officer : Post / Title : Contact Tel. No. : Date :

2/2 Certifying invoices and receipts

1. For easy record, all invoices and receipts should be properly fixed on A-4 sized paper (recycled paper can be used) and certified by the Financial Controller (or a senior officer in similar capacity) of the Organization in the following manner:-

Project Title : Approved Amount : Approved Item No. & Description :

a. It has been checked correct and no previous claim in respect of the donation has been made; b. The quotation / tender requirements stipulated in the ‘General Conditions of Grant’ have been duly observed; c. The goods purchased have been received in good order; and d. All of the services details have been provided and are considered necessary for the project. Authorized Signature : with Organization Chop Organization Name :

Name : Position : Date :

2. Both the invoice/receipt and the above certification should appear on the same A-4 sized paper in one of the following ways:

Serial no: XXX Serial no: XXX

Invoice / Receipt (if size smaller than Invoice / Receipt A4) (If size larger than A4)

Certificatio Certification n