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IN-KIND CONTRIBUTION TRACKING SUMMARY

Fill out, print and fax or mail to TAME office: TAME, Inc., UT-Austin, R9200

10100 Burnet Road Bldg 16, Rm 10

Austin, TX  78758  PH: 512-471-6100   FAX: 471-6797

 

Using all of the in-kind forms you've received from the individual volunteers for this past school year, please provide totals as required below..

              For the Academic Year: 

 
Date Submitted: ______________________       

 Estimated or actual value of in-kind contribution:

TIME / CONTRIBUTED PROFESSIONAL SERVICES

Person x Amount   Vendor (if applicable) x $25.00 =  
  x       x $25.00 = $
  x       x $25.00 = $
  x       x $25.00 = $
  x       x $25.00 = $
  x       x $25.00 = $
  x       x $25.00 = $

 EQUIPMENT/SUPPLIES

Items Contributed $ Amount   Vendor (if applicable)        
  $              
  $              
  $              
  $              

TRANSPORTATION

Person x # Miles  

$0.445

= $    
  x    

$0.445

= $    
  x    

$0.445

= $    
  x    

$0.445

= $    
  x    

$0.445

= $    

FOOD/CATERING

Item $ Amount   Vendor (if applicable)        
  $              
  $              

PRINTING AND PUBLICATION EXPENSES

Item $ Amount   Vendor (if applicable)        
  $              
  $              

OTHER

Item $ Amount   Vendor (if applicable)        
  $              
  $              
  $              
TOTAL $              
TOTAL HOURS: $              
Submit form to: TAME State Office
Questions? Contact TAME State Office (512) 471-6100   Fax: (512) 471-6797