ANNEX IIMODEL FOR A FINANCIAL REPORT ON VOLUNTARY SURVEILLANCE STUDIES ON HONEYBEE COLONY LOSSES
Total expenditure for the project (real costs, VAT excl.) | ||
Member State: | Number of apiaries visited: | |
Laboratory costs | |||
Staff category | Number of working days | Daily rate | Total |
… | |||
… | |||
Consumables (description) | Quantity | Unit cost | Total |
… | |||
… | |||
Sampling and monitoring costs (apiary visits) | |||
Staff category | Number of working days | Daily rate | Total |
… | |||
… | |||
Consumables (description) | Quantity | Unit cost | Total |
… | |||
… | |||
Certification by the beneficiary
We certify that:
the expenditure listed above was incurred in the performance of tasks described in the technical document ‘Basis for a pilot surveillance project on honey bee colony losses’5 and directly related to the implementation of the surveillance study programme for which financial support was granted according to Commission Implementing Decision 2012/362/EU,
the expenditure was actually incurred, accurately accounted for and eligible under the provisions of Implementing Decision 2012/362/EU,
all supporting documents relating to the expenditure are available for auditing,
no other Union contribution was requested for the projects listed in this Decision.
Date:
Name and signature of the financial officer responsible: