[D]
FINANCIAL REPORT FOR DELEGATIONS OF AUTHORITY Report for Fiscal Year 2010
Individual (s) Delegated Authority
Delegatee’s Title
Organization/Program Manager/Phone #
Delegation Issue Date
PROVIDE THE FOLLOWING AS APPROPRIATE:
Supplier
Number of Agreements
Agreement Date(s)
C,NC,CNR1
Total Revenue
Total Expenses
Net Revenue
1Competitive, non-competitive, competition not required
TOTALS/
Note: Credit card purchases fall under local buying delegations and should not be included as part of this report.
During this reporting period, were there any concerns raised about your delegation, such as congressional inquiries, litigations, etc.?
If so, attach supporting documents with this report.
