【正文】 cal cost expenditure provided by other organizations: GBP 5,3. Deduct local cost expenditure not eligible for reimbursement GBP 04. Deduct any local costs expenditure already claimed: GBP 80,0005. Claim now due for reimbursement: GBP1,Section (5) (This claim expenditure details)Attach details of how the sum claimed in Section (4) was used . work carried out, material purchased, labor used, machinery or equipment hired or bought, contracts entered into, and services used etc.Section (6) (Certification)Certification for Claim and request for reimbursementI certify that this claim for GBP1, reimbursement is correct and that the sum requested is properly due on the basis of the information provided above and on the work carried out, material bought in, and other expenses necessarily incurred in connection with the Project.I have the authority to sign this on behalf of the Government of the People’s Republic of China.Signature: …………………….. Name: ………………………….Date: May 30, 2005Section (7) (for DFID authorized signatory)I have examined this claim and satisfied myself that the information requested in all sections has been provided, and that the claim plies with terms of the Exchange of Notes. I have the authority to sign this on behalf of the Government of United Kingdom.The claim for reimbursement is approved.Signature: ……………………… Name: …………………………….Date:Form 2：STATEMENT OF EXPENDITUREProject Title::UK/PRC Water Resources Demand Management Assistance ProjectWRDMAP Date: May 30,2005DFID MIS Code：MIS XXXXXXXXX Claim Number:2005050212345678=5/7Item No.Budget Line of ProjectAnnual Budget CodeActivityName and Address of Supplier/ConsultantCurrency and Total Amount of Contract/BudgetAmount Eligible for FinancingCumulative Amount Paid to DateGBP Equivalent Amount Charged to Special AccountExchange RateRMB/GPB1Providing consulting advices on financial management on fund uses￥6,￥6,￥6,￡2Wuwei WR Bureau applies and enforces water demand management toolsWuwei WR Bureau￥100,￥15,￥50,￡1,Total￡106,￡21,￡56,￡1,14,5727Supporting Document for this SOE retained at each PMO or CSO respectivelyAuthorized by: Li Ge (Authorized Signature)(注：該表格用于中央項目管理辦公室向英國國際發(fā)展部申請資金回補(bǔ)所用) Form 3： Special Account Reconciliation StatementProject Title: China Water Resources Demand Management Assistance ProjectWRDMAP MIS XXXBank Account NumberOperating Bank Amount advanced by DFID ￡100, Less total amount recovered by DFID ￡ EQUALS PRESENT OUTSTANDING AMOUNT ADVANCEDTO THE SPECIAL AMOUNT ￡100, Amount in special account at May 30,2005 per bank statement (copy attached) ￡18, Plus amount of eligible expenditure documented in attached claim () ￡1, Plus amount claimed in previous applications not yet credited at date of bank statement Claim No. Amount 20050501 ￡80, Subtotal of previous claim(s) not yet credited ￡80, Plus bank service charge ￡ Less interest earned credited to the account ￡ EQUALS TOTAL ADVANCE ACOUNTED FOR ￡100, Explanation of any discrepancy between totals appearing on line 3 and 9 above (None) DATE：MAY 30, 2005 SIGNATURE: Wang FengshanTITLE: Project Director FORM 4：Bank Statement(由銀行提供)(注：該表格用于中央項目管理辦公室向外匯專用賬戶申請資金報賬所用)費(fèi)用報表STATEMENT OF EXPENDITURE項目名稱：中英合作水資源需求管理項目 日期：2005年5月30日Project Title::UK/PRC Water Resources Demand Management Assistance ProjectWRDMAP Date: May 30,2005英國國際發(fā)展部系統(tǒng)編號：MIS XXXXXXXXX 回補(bǔ)申請書編號：20050502DFID MIS Code：MIS XXXXXXXXX Claim Number:2005050212345678=5/7序號Item No.項目預(yù)算編號Budget Line of Project年度預(yù)算編號Annual Budget Code項目活動Activity供貨商/咨詢專家名稱Name and Address of Supplier/Consultant合同/預(yù)算貨幣與金額Currency and Total Amount of Contract/Budget合格支付金額Amount Eligible for Financing累計支付金額Cumulative Amount Paid to Date從專用賬戶支付的等值英鎊數(shù)GBP Equivalent Amount Charged to Special Account匯率Exchange RateRMB/GPB1為資金的使用提供財務(wù)管理建議Providing consulting advices on financial management on fund uses羽泉￥6,￥6,￥6,￡2甘肅武威市水利局開展水資源需求管理研究Wuwei WR Bureau applies and enforces