Acquittal Form Please complete this form to acquit your Mt Alexander Community Enterprise GrantGroup Name(Required) Project Title(Required) Brief details of project outcome and Mt Alexander Shire community benefit(Required)Amount received from Mt ACE(Required)Expenditure details(Required)Please provide Receipts Drop files here or Select files Max. file size: 2 MB. Please provide details regarding your public acknowledgement of Mt Alexander Community Enterprise and their funding partnersPlease attach a photograph for Mt ACE publicity (must comply with child safe & privacy regulations) Drop files here or Select files Max. file size: 2 MB. Please note – the above information and image may be used by Mt ACE, Bendigo Bank, Bendigo Telco in their publicityDeclaration(Required) By submitting this form I declare that the Mt Alexander Community Enterprise Connected Communities Grant was spent as outlined above Name(Required) First Surname Position(Required) Date(Required) MM slash DD slash YYYY Δ
