Corrective Action Plans

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Comments on findings and recommendations The organization concurs with the finding and the auditor’s recommendation. We acknowledge that while the missing file was an isolated incident, internal controls over document retention need improvement to ensure all required tenant files are preserved and r...
Comments on findings and recommendations The organization concurs with the finding and the auditor’s recommendation. We acknowledge that while the missing file was an isolated incident, internal controls over document retention need improvement to ensure all required tenant files are preserved and retrievable. Actions taken or planned The organization is in the process of implementing an electronic document management system with automatic backup features. Additionally, a formal file retention policy is being developed, which will include supervisory review prior to any deletion or purging of files. Staff responsible for document handling will receive training to reinforce compliance with the policy. Anticipated completion date September 30, 2025
Finding 1153704 (2024-003)
Material Weakness 2024
FINDING 2024-003 Finding Subject: COVID-10 Coronavirus State and Local Fiscal Recovery Funds-Suspension and Debarment Contact Person Responsible for Corrective Action: Elizabeth J. Billue Contact Phone Number and Email Address: 574-583-1515 libby.billue@whitecounty.in.gov Views of Responsible Offici...
FINDING 2024-003 Finding Subject: COVID-10 Coronavirus State and Local Fiscal Recovery Funds-Suspension and Debarment Contact Person Responsible for Corrective Action: Elizabeth J. Billue Contact Phone Number and Email Address: 574-583-1515 libby.billue@whitecounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The previous planned corrective action was implemented but did not correct the deficiency and the stated issue remains. An Ordinance Establishing a Grant Management Process for White County was approved in response to the original finding. This ordinance is provided annually, and as needed, to all departments as a reminder of the requirements. Although this ordinance was intended to provide direction to all county department grant applicants for proper internal controls, it does not specifically identify suspension and debarment. The Auditor previously met with the County Attorney to put a plan in place to make sure that a suspension and debarment clause is included in all federally funded projects, but a new County Attorney was brought in and the clause has not yet been included. Going forward, the County will require that a suspension and debarment clause be included in the contract or all vendors paid with federal grant dollars will now be checked for their status in SAM.gov. The new County Attorney is on board with the requirement and is working to implement a policy for all future contracts that includes a statement or certification that the vendor is not suspended, debarred or otherwise excluded. Anticipated Completion Date: Immediately, as of August 2025
Federal Agency Name: Department of Homeland Security Pass-Through Entity: State of South Dakota Office of Emergency Management Assistance Listing Number: 97.039 Program Name: Hazard Mitigation Grant Program Finding Summary: In two of three quarterly performance reports tested, the Association improp...
Federal Agency Name: Department of Homeland Security Pass-Through Entity: State of South Dakota Office of Emergency Management Assistance Listing Number: 97.039 Program Name: Hazard Mitigation Grant Program Finding Summary: In two of three quarterly performance reports tested, the Association improperly overstated expenditures incurred to date. Corrective Action Plan: Matt Schmahl will run the Work Order Analysis report in our IVUE software to give him the information to fill out the progress report. The analysis report will list in detail the transactions that have been posted to the work order as of the day the report was run. This report will be attached to the progress report and filed for documentation. Responsible Individuals: Matt Schmahl, Business Development Manager and Mike Letcher, Operations Manager. Anticipated Completion Date: The anticipated date of completion August 2025, as we have notified our employees of this change.
Federal Agency Name: Department of Homeland Security Pass-Through Entity: State of South Dakota Office of Emergency Management Assistance Listing Number: 97.039 Program Name: Hazard Mitigation Grant Program Finding Summary: Material expenditures were claimed for reimbursement with no documented form...
Federal Agency Name: Department of Homeland Security Pass-Through Entity: State of South Dakota Office of Emergency Management Assistance Listing Number: 97.039 Program Name: Hazard Mitigation Grant Program Finding Summary: Material expenditures were claimed for reimbursement with no documented formal review and approval. Corrective Action Plan: We will continue to have the approvals of material expenditures happen at the requisition level when the materials are ordered. If we must use material from our internal inventory stock, we will use a material charge out sheet that will provide the following information: work order number of project, name of work order, date, material item number (SBR#), quantity, charged by, approved by and posted by. This charge out sheet will then be posted in our IVUE system, and the paper copy will be scanned into vault for documentation. This same procedure will be used for salvage and credit material. For cash management, we will send the final summarized report to the Operations Manager for approval before it is sent to FEMA. Responsible Individuals: Mike Letcher, Operations Manager; Brendan Nelson, Operations Supt.; and Sanden Simons, Operations Supt.; Anticipated Completion Date: The anticipated date of completion is September 2025, as we have notified our employees of this change.
FINDING – FINANCIAL STATEMENT 2024-001 Financial Statement Recommendation: We recommend that the Organization implement the necessary internal controls to ensure that accruals are properly recorded and the associated expenses and revenues are recorded in the proper period. Explanation of disagreemen...
FINDING – FINANCIAL STATEMENT 2024-001 Financial Statement Recommendation: We recommend that the Organization implement the necessary internal controls to ensure that accruals are properly recorded and the associated expenses and revenues are recorded in the proper period. Explanation of disagreement with audit findings: Management concurs with the finding and will implement effective internal controls to ensure that financial information is reported in accordance with GAAP. Action Plan: The Finance & Administration Director has updated the Accounting protocol guide and Grants Internal Control guide instructing staff how to identify accrual expense invoices. These policies establish procedures for recording accrual expense invoices to ensure that all expenses are properly recognized in the correct accounting period in accordance with Generally Accepted Accounting Principles (GAAP). This policy applies to all accounting and grant management staff responsible for processing and recording expense transactions, including accounts payable, month-end closing and journal entries, and other financial reporting activities. In addition, on Sept. 11, 2025, a training program was developed and administered to accounting staff to ensure they understand this policy. The Finance & Administration Director will conduct quarterly internal reconciliations and reviews to audit compliance and identify areas of error. This process is tracked in the Asana project management tool. The Finance Director will review all invoices for appropriate invoice dates so that accrued expenses will be posted to the correct period. And lastly, the Grants Finance Manager and Finance & Administration Director will review journal entries, financial statements, and key estimates (such as allowances for doubtful accounts or depreciation methods) further ensure accuracy. Name(s) of the contact people responsible for correction action: Renee Kempka, Finance & Administration Director U.S. Department of Agriculture 2024-002 Assistance Lising #10.163 – Market Protection Program Recommendation: The Organization should establish written policies and procedures regarding the contracting and monitoring of subrecipients that are in line with Uniform Guidance requirements, as well as establish organizational controls to ensure that such policies and procedures are being followed. Explanation of disagreement with audit findings: Management concurs with the finding and will implement effective internal controls to ensure that subrecipient monitoring is properly done and documented appropriately. Action taken in response to finding: Upon discovery of the initial audit finding, an accrual journal entry was created to correct the subrecipient invoicing between 2025 and 2024. The adjusting journal entries and updated financial statements were submitted to Kern & Thompson, who we engaged to conduct the financial audits. This altered previous financial statements for 2024 and 2025, and the SEFA. Action Plan: The late reporting was primarily due to delays in receiving invoices from the subrecipient after the fiscal year end closing. The Education and Advocacy Director will send out quarterly reminders to partners informing them of the invoice due dates. Subrecipient partners will be expected to submit the invoice within the allotted time of 30 days after the closing of the reporting period. The Grant Finance Manger will conduct a review of all active subrecipient partners to ensure invoices have been received and recorded in the corresponding fiscal period for which the activity was conducted. If the invoice is not received, a courtesy reminder email and/or phone call will be sent to let the partner know that if the invoice is received outside of the 30 days, it will no longer be allowable. 21 days after the close of a quarter, the Finance Director and the Grants Finance Manager will meet and audit the sub-recipient budget against what has been submitted for payables. A list of partners who have not submitted invoices will be created with subsequent intent to contact the organization. This task will be tracked for completion according to timelines in the Grant Internal Control Asana project. Name(s) of the contact people responsible for correction action: Abigail Soto, Grants Finance Manager, Ben Bowell, Education & Advocacy Director and Renee Kempka, Finance & Administration Director Plan completion date for corrective action plan: 09/11/25
The Organization has implemented a reporting calendar and checklist to track all federal reporting deadlines, including SF-425 submissions. Responsibility for report preparation and submission will be assigned to the Deputy Director, with final review by the Executive Director prior to submission. T...
The Organization has implemented a reporting calendar and checklist to track all federal reporting deadlines, including SF-425 submissions. Responsibility for report preparation and submission will be assigned to the Deputy Director, with final review by the Executive Director prior to submission. These procedures were utilized for the June 30, 2025 reporting cycle.
The Organization acknowledges the finding and appreciates the clarifications regarding the expiration of the temporary waiver of the “credit not otherwise available” requirements. Upon identification of this issue, we conducted a full review of all loans originated after June 30, 2022. As a result w...
The Organization acknowledges the finding and appreciates the clarifications regarding the expiration of the temporary waiver of the “credit not otherwise available” requirements. Upon identification of this issue, we conducted a full review of all loans originated after June 30, 2022. As a result we have retrofitted all loan files issued after the waiver expired to include appropriate documentation demonstrating that credit was not otherwise available on terms and conditions that would permit the completion or successful operation of the financed activity. Management has also implemented the following preventive measures going forward: • All new loan reports include a section on “credit not otherwise available” for loan committee members to review. • The Organization will annually review EDA guidance and policy changes to ensure that internal documentation practices remain aligned with current federal requirements.
Management agrees with the finding and changed the request with FDEM to correct. Management was also guided by the auditor with FDEM to submit the material invoices to assist with some payment while waiting on project approval. This led to the two methodologies. When submitting projects, we always i...
Management agrees with the finding and changed the request with FDEM to correct. Management was also guided by the auditor with FDEM to submit the material invoices to assist with some payment while waiting on project approval. This led to the two methodologies. When submitting projects, we always include the work orders that include force account labor, materials, contract labor and overheads. This situation has been resolved and Management intends to only use one methodology in the future.
2024-007 Improve Internal Controls Over Reporting Management Response and Corrective Action Plan: We concur with the finding. The City acknowledges that the preparation and submission of SF- 425 Federal Financial Reports under the Public Safety Partnership and Community Policing Grants program lacke...
2024-007 Improve Internal Controls Over Reporting Management Response and Corrective Action Plan: We concur with the finding. The City acknowledges that the preparation and submission of SF- 425 Federal Financial Reports under the Public Safety Partnership and Community Policing Grants program lacked appropriate segregation of duties. To address this, the City and Department will implement written procedures requiring that all Federal financial reports undergo an independent review and documented approval prior to submission. The Financial Analyst will prepare reports, the Grant Coordinator (or designee) will perform and document the review, and the Authorized Official (Business Services Manager) will submit only after review is complete. A review checklist will be adopted, and documentation will be retained in the grant file. Staff training on internal control requirements will be conducted, and full implementation is expected within 90 days. The Independent City Auditor will be responsible for ensuring completion and ongoing compliance. Planned Implementation Date: 12/17/2025 Person Responsible for Corrective Action: Julianne Pelletier
2024-006 Improve Internal Controls Over Reporting Management Response and Corrective Action Plan (DPW): Management concurs with the finding. The City / DPW will implement enhanced reconciliation procedures to ensure all SF-425 reports agree to the general ledger and SEFA, with independent review pri...
2024-006 Improve Internal Controls Over Reporting Management Response and Corrective Action Plan (DPW): Management concurs with the finding. The City / DPW will implement enhanced reconciliation procedures to ensure all SF-425 reports agree to the general ledger and SEFA, with independent review prior to submission. Management Response and Corrective Action Plan (Planning): Management concurs with the finding. The City / Planning Department will implement enhanced reconciliation procedures to ensure all SF-425 reports agree to the general ledger and SEFA, with independent review prior to submission. Planned Implementation Date: 12/17/2025 Person Responsible for Corrective Action: Julianne Pelletier
We have adjusted our policies and procedures to assure that every claim submission is reviewed by both the Controller and CFO prior to submission. Claim forms and appropriate documentation will be submitted to the Controller who will give initial review. Review will consider timeliness of items clai...
We have adjusted our policies and procedures to assure that every claim submission is reviewed by both the Controller and CFO prior to submission. Claim forms and appropriate documentation will be submitted to the Controller who will give initial review. Review will consider timeliness of items claimed as well as appropriateness for the particular federal grant. CFO will then provide final authorization in writing to both grant accountant and controller at which time claim for reimbursement can be submitted by grant accountant.
Criteria: Federal and state grant agreements typically require recipients to maintain effective internal controls over financial reporting. These include accurate and timely submission of required reports; proper documentation and retention of supporting records and review and approval processes to ...
Criteria: Federal and state grant agreements typically require recipients to maintain effective internal controls over financial reporting. These include accurate and timely submission of required reports; proper documentation and retention of supporting records and review and approval processes to ensure compliance and accuracy. Explanation of disagreement with audit finding: There is no disagreement with the audit finding. Action taken in response to finding: Containment: To prevent miscoding of expenses, we implemented a change in the prior fiscal year to allocate all CACFP-related expenses to a distinct program code. This ensures that CACFP costs are tracked independently and not charged to direct programs. Root Cause Reconciliation of the reimbursement from USDA can vary on the reimbursement of the cost of food. Where there is less cost than reimbursement we are reconciling the overage to staff wages of kitchen staff and supplies for the kitchen at the end of the year instead of monthly. Action Taken Reconciliation of the monthly reimbursement amount from CACFP to the food expenses will be reviewed each month by the 10th (for the following month) and reconciliation to the appropriate programs will be journal entries and included in the monthly review of revenue and expenses.
Corrective Action: 4-C has implemented a procedure for reviewing and approving all financial reports to external entities. Responsible for Corrective Action: Management Team Anticipated Completion Date: 8/26/2025
Corrective Action: 4-C has implemented a procedure for reviewing and approving all financial reports to external entities. Responsible for Corrective Action: Management Team Anticipated Completion Date: 8/26/2025
Corrective Action: 4-C will implement procedures for tracking and documenting matching contributions. Responsible for Corrective Action: Executive Director, Business Manager Anticipated Completion Date: 12/31/2025
Corrective Action: 4-C will implement procedures for tracking and documenting matching contributions. Responsible for Corrective Action: Executive Director, Business Manager Anticipated Completion Date: 12/31/2025
Significant improvements were made in 2024, and again this year’s findings highlight the need for stronger documentation of signed contracts, approved rate changes, and allocation support. To address this, we are further expanding use of the HR Solution’s (Rippling) workflow and document management ...
Significant improvements were made in 2024, and again this year’s findings highlight the need for stronger documentation of signed contracts, approved rate changes, and allocation support. To address this, we are further expanding use of the HR Solution’s (Rippling) workflow and document management tools to automate approvals and ensure a complete audit trail. In addition, our new global hub structure, with dedicated HR support functions, will provide greater oversight and consistency across entities. These measures will enhance compliance and reduce the risk of recurrence going forward.
View Audit 366660 Questioned Costs: $1
FINDING 2024-002 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Reporting Contact Person Responsible for Corrective Action: Angela Eck Contact Phone Number and Email Address: 260-868-5200, clerktreasurer@cityofbutler.in.gov Views of Responsible Officials: “We concur ...
FINDING 2024-002 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Reporting Contact Person Responsible for Corrective Action: Angela Eck Contact Phone Number and Email Address: 260-868-5200, clerktreasurer@cityofbutler.in.gov Views of Responsible Officials: “We concur with the finding” Mike Hartman, Mayor Angela M. Eck, Clerk-Treasurer Donald Stuckey, Attorney 215 S Broadway, Butler, IN 46721 260-868-5200 Main Line 260-868-5882 Fax www.butler.in.us INDIANA STATE BOARD OF ACCOUNTS 19 The City of Butler is an Equal Opportunity Provider. Explanation and Reasons for Disagreement: Not applicable Description of Corrective Action Plan: The Clerk-Treasurer will put the existing checklist for federal reporting in the year end binder and specifically mention it on the year end checklist so that it is not forgotten. Anticipated Completion Date: It has been completed as of August 18, 2025.
FINDING 2024-001 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Angela Eck Contact Phone Number and Email Address: 260-868-5200, clerktreasurer@cityofbutler.in.gov Views of Responsible Officia...
FINDING 2024-001 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Angela Eck Contact Phone Number and Email Address: 260-868-5200, clerktreasurer@cityofbutler.in.gov Views of Responsible Officials: “We concur with the finding.” Explanation and Reasons for Disagreement: Not applicable Description of Corrective Action Plan: The Clerk-Treasurer will meet with the Mayor and Department Heads to ensure that they provide the Clerk- Treasurer’s Office time to verify that a potential vendor or contractor is not suspended, debarred or otherwise excluded from receiving federal funds. The Clerk-Treasurer will also create a form for this purpose and follow it for all contracts or purchases that are over $25,000. This will apply to all future federal projects. Anticipated Completion Date: The Clerk-Treasurer will meet with the Mayor and Department Heads before October 1, 2025. A form will be created by November 1, 2025.
Corrective Action: Suspension and debarment verifications have now been performed for the covered transactions charged to federal award programs in 2024. Going forward, management will include a field in Friends of Little Saigon’s standard purchase order form to attest that a suspension and debarmen...
Corrective Action: Suspension and debarment verifications have now been performed for the covered transactions charged to federal award programs in 2024. Going forward, management will include a field in Friends of Little Saigon’s standard purchase order form to attest that a suspension and debarment verification is performed for any new vendors with covered transactions over $25,000. For vendors where purchase order forms are not utilized, management will retain an electronic copy of the SAM.gov Excluded Parties List System search results in the vendor file. Anticipated Completion Date: December 31, 2025
FINDING 2024-003 (prior finding audit number 2023-002) Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Mindy Byers, Auditor Contact Phone Number and Email Address: 765-364-6401 mindy.byers@montgomerycounty.in...
FINDING 2024-003 (prior finding audit number 2023-002) Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Mindy Byers, Auditor Contact Phone Number and Email Address: 765-364-6401 mindy.byers@montgomerycounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: One person will complete the report and another will sign off on a full review. Anticipated Completion Date: April 1, 2026 (based on due date of the next report)
FINDING 2024-002 (prior finding audit number 2023-001) Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Mindy Byers, Auditor Contact Phone Number and Email Address: 765-364-6401 mindy.byers@mont...
FINDING 2024-002 (prior finding audit number 2023-001) Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Mindy Byers, Auditor Contact Phone Number and Email Address: 765-364-6401 mindy.byers@montgomerycounty.in.gov Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: A new policy was adopted after the previous audit to ensure proper language regarding suspension and debarment is included in every contract. Because the contracts are outside of Auditor control, the Auditor is requesting county management to get an amendment for the vendor in question, Indiana American Water. Anticipated Completion Date: 08/31/2025
FINDING 2024-003 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Katherine Adamson Contact Phone Number and Email Address: 574-223-2912 auditor@co.fulton.in.us View of Responsible Officials: We...
FINDING 2024-003 Finding Subject: COVID-19 – Coronavirus State and Local Fiscal Recovery Funds – Suspension and Debarment Contact Person Responsible for Corrective Action: Katherine Adamson Contact Phone Number and Email Address: 574-223-2912 auditor@co.fulton.in.us View of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: This grant is fully expended; however the Auditor will work with the County Attorney and Commissioners to create the necessary policies and procedures for the County related to Suspension and Debarment of other grant funds. Anticipated Completion Date: December 31, 2025
FINDING 2024-002 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Reporting Contact Person Responsible for Corrective Action: Jessica Secrease, County Auditor Contract Phone Number and Email Address: 765-456-2804 Views of Responsible Officials: We concur with the findi...
FINDING 2024-002 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds – Reporting Contact Person Responsible for Corrective Action: Jessica Secrease, County Auditor Contract Phone Number and Email Address: 765-456-2804 Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: To prevent a recurrence of this issue in future audits, the County will implement a new internal control procedure. Specifically, the Auditor’s Office will require that both the Deputy Auditor and the County Auditor review and sign off on all Coronavirus State and Local Fiscal Recovery Fund reports prior to submission. This dual-review process will include a standardized checklist to verify data accuracy, consistency with supporting documentation, and compliance with federal reporting requirements. In addition, staff involved in the preparation of the reports will receive refresher training on the applicable guidance and reporting protocols to ensure a thorough understanding of expectations and requirements Anticipated Completion Date: September 2025
FINDING 2024-003 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Lori Elmore Contact Phone Number and Email Address: 317-325-1315 Lelmore@greenfieldin.org Views of Responsible Officials: We concur with the fi...
FINDING 2024-003 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Reporting Contact Person Responsible for Corrective Action: Lori Elmore Contact Phone Number and Email Address: 317-325-1315 Lelmore@greenfieldin.org Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: We will ensure an internal person reviews the items included in the Annual Project and Expenditure Report before the submission of the report, we will implement a system where communications are exchanged between the Clerk-Treasurer and the person reviewing the submission to verify the report has been reviewed by someone other than the preparer. The spreadsheet which tracks expenditures has been amended to separate the reporting periods. Anticipated Completion Date: By April 30th, 2026 when the next Annual Project and Expenditure Report is due to be submitted.
FINDING 2024-002 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Suspension and Debarment Contact Person Responsible for Corrective Action: Lori Elmore Contact Phone Number and Email Address: 317-325-1315 Lelmore@greenfieldin.org Views of Responsible Officials: We con...
FINDING 2024-002 Finding Subject: COVID-19 - Coronavirus State and Local Fiscal Recovery Funds - Suspension and Debarment Contact Person Responsible for Corrective Action: Lori Elmore Contact Phone Number and Email Address: 317-325-1315 Lelmore@greenfieldin.org Views of Responsible Officials: We concur with the finding. Description of Corrective Action Plan: The City Attorney will include this language in all our standard contracts and agreements to ensure all contractors that are paid $25,000 or more, all or in part with federal funds, are not suspended or disbarred from participating in federal programs before entering a contract going forward. In addition, we will include a self-certification document for vendors to return to us as part of their bid packet and add to the checklist of requested items. The City Attorney and the Department Head, who is overseeing the project, will be responsible for confirming this document is received and the vendor is neither disbarred nor suspended. Anticipated Completion Date: Estimated to be in effect by September 30th, 2025, or earlier, following the completion of the exit interview and once the Audit Report has been posted on the SBOA website and we are free to openly discuss the audit findings.
Communicate with the Budget Board regarding this finding. We have already introduced to the budget board, a form guideline called "Payne County Grant Administration Plan" to aid in proper documentation, repo1ting and proper spending of all grant awards, including creating a capital outlay sub accoun...
Communicate with the Budget Board regarding this finding. We have already introduced to the budget board, a form guideline called "Payne County Grant Administration Plan" to aid in proper documentation, repo1ting and proper spending of all grant awards, including creating a capital outlay sub account as recommended.
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