usaid audit aplicability cert fy14 esa vietnam p0273

2
CERTIFI C A T I O N OF U SAID-REQ U  RED i\UDI T A PP UCABI U T Y I cer tify th a t th e i nfo r m ati on fi l l e d belo w is accurate f o rthe organi z a t i o n I r ep r esen t . A . T h e F i sc a l Y ea r 2 0 14 in my org an i za t io n e n d s on II] ~ - W W - ~ 0 w  ± J ( MM - DD-YYYY). B . I n FY  1 4  a to t a l o f B,B12J 1l J If] l J ] [1J.  i l ~ US D ollar s 1 o r e qu v a l ent l oca l curr e ncy was spent in U S AID funds . T h e spent funds were r ece i ved from the following sourc es b ot h in ca s h a nd ln -k ln d - : o  8 [J [il If]~ [f]. 0 5J u s D o llars o r e qu iv al e nt lo ca l cur renc y t h rough C R S O J 0 0D  D O0. 0 0 US Do ll a r s o r equivalent loca l cur r ency thr o ugh ot h er o rganiz a ti o n s 0  0 0 0  0 0 0 .0 0 U S Do ll a r s or eq u i v a le nt l ocal cu rr en cy t h ro u g h US AI D dire ct ly o o I c ert i fy t h a t the i n f o rma tio n f i l ie d ab o v e i s ac c u r ate fo rthe organ lza tl on I repres e nt . O rg . Na me :  ~ L-frN6 v NivF(2. i l) DU N Sff  00  00 0 uliNa m e: N~vyt rJ O J N J o b Tit le: I (  C5\-6 f\.. Ad dr es s : 4::; r- J r J t vv ~~ Nt- D ~ Sf } V 1 ct--:i ..Jt~ c Q w v'-\~ V c e tvyCt L-yl./ Em a il : . f1~44< ~ ,,( rpc 'VY ~ p ~l : ~~ 4  ~ ~ . - ~ - ~ -...: P h o ne ( s ): 1 < . C ~ f fi :>  2  . ~ . ;3 9 ' ~ :; /  . ' - -- '- '.:: I . i l lo J r . ~  W \i  N G i i ~ . . ~ ~ .  V  S i g nature : I _ / OAI}lQC OA N L ~  .  . . Date : O , :>/,AQ ).;J)/i \ iC \ VAN L A T ' ; (  . ' 1 \  .I v /,  he bas e f o r co nv ersion will be the t ota l a mou n t s pen t in loca l c urre n cy in s ub rec i p i ent' s FY a so f the la st dat e o f s u brecipien t's F Y , e .g. , D ec . 3 1 . Fo r th e pu rpose o f th i s c e rtifi cat i on , i t is r eq u i re d to u se www . OANDA.com t o c onvert loca l currenc y to U D ollars w i t h inte r ba n k i n di ca t o r o n O anda ' s C urr e ncy C o nv erte r s e t to + / ...{)% .Thi s i s t o e n su re co ns is t en c y of certif i ed in f or m ation among all su br eclpi ents . 2 I n -ki nd c a n o nl y be lncl ude d if cod i fi ed/booked as  exp en d it ur es  i n the General L e d ger. P a ge 2 of 2 R E : U S Al D - requ ired Aud it Comp l ian c eforF i scalYea r 20 14  .z>:

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7/25/2019 Usaid Audit Aplicability Cert Fy14 Esa Vietnam p0273

http://slidepdf.com/reader/full/usaid-audit-aplicability-cert-fy14-esa-vietnam-p0273 1/1

CERTIFICATION

OF USAID-REQU RED i\UDIT APPUCABIUTY

I certifythatthe information filled below is accurate forthe organization I represent.

A.

The Fiscal Year

2014

in my organization ends on

II]~ - W W - ~ 0 w

 ± J (MM-DD-YYYY).

B. In FY  14  a total of

B ,B 1 2 J 1 l

J If] l J ] [ 1 J .

  i l ~

US Dollars1 or equivalent local currency

was spent in USAID funds. The spent funds were received from the following sources both in cash and

ln-klnd-:

o

  8

[J[il

I f ] ~

[f]. 0 5 J us

Dollars or equivalent local currency through CRS

O J

0 0 D DO0.00

US Dollars or equivalent local currency through

other organizations

0 00 0   0 0 0 .0 0

US Dollars or equivalent local currency through

USAID directly

o

o

I

certify that the information fi lied above is accurate forthe organ

lzatlon I

represe nt.

Org. Name:

  ~

L-frN6

vNivF(2. il)

DUNSff

 

00 000

FuliName:

N~vyt rJ

O J N

JobTitle:

I(

 

C 5 \ - 6

f\..

Address:

4::;

r - J r J t vv ~~ N t -

D ~

S f } V 1 c t - - : i

. . J t ~ c Q w

v'-\~

V

c e tvyCtL-yl./

Email:

. f1~44<~,,( rpc'VY~p~l:

~~4 ~

~ . - ~ - ~ - . . . :

Phone(s):

,1<.

C ~ · ~ f f i:> 2  .~ .;3

9'~:;/ .'---'-'.:: I . illoJr

.~   W\i NG ii~..~~.

  V

 

Signature: I_

/O A I } l Q C

O A N

L ~   .   . .

Date:

O , :>/,AQ ). ;J)/ i

\ iC \ V A N L A T ' ; (   . '

1\

 

.Iv/,

 

he base for conversion will be the total amount spent in local currency in subrecipient's

FY

as of the last date of

subrecipient's

FY ,

e.g., Dec.

31 .

For the purpose of this certification, it is required to use www.OANDA.com to

convert local currency to

U S

Dollars with interbank indicator on Oanda's Currency Converter set to +/...{)%.Thisis to

ensure consistency of certified information among all subreclpients.

2 In-kind can only be lncl uded if codi

fi

ed/booked as  expenditures  in the General Ledger.

Page

2

of 2

RE: USAlD-required Audit ComplianceforFiscalYear 20 14

 

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