Subcontractor Reimbursement Request – Invoice Summary Spreadsheet
Instructions: This form is to accompany your requests for reimbursement. 1.
Enter your budget from your current approved work program. 2. Update the
beginning balances with the ending balance from your last Invoice Summary
Spreadsheet. 3. Then insert the amounts from your current invoice by category
and total. 4. Calculate the ending balances for this invoice. Attach Copies of
invoices, checks and time cards plus the Reimbursement Request Form and send
to (type appropriation recipient title here ).
Project Title:
Legal Citation: Laws of Minnesota 2003, Chapter _________, Section _________, Subdivision _________. Period Covered by Reimbursement Request: ____________TO _____________ .
Budget for Results from Work Program D:\Docstoc\Working\pdf\[f60a3a9e-85dd-4966-a196-d92ab1636552.xls]Sheet1
Result 1: (Insert Title of Result) Result 2: (Insert Title of Result) Result 3: (Insert Title of Result) Project Total
Beginning Current Ending Beginning Current Ending Beginning Current Ending Beginning Current Ending
Budget Item Budget Balance Invoice Balance Budget Balance Invoice Balance Budget Balance Invoice Balance Budget Balance Invoice Balance
Personnel: Staff
expenses, wages, salaries
Personnel: Staff benefits
Professional/Technical
contracts
Other contracts
Other direct operating
costs
Equipment / Tools
Office equipment &
computers
Other capital equipment
Land acquisition
Land rights acquisition
Printing
Advertising
Communications,
telephone, mail, etc.
Office Supplies
Other Supplies
Travel expenses in
Minnesota
Travel outside Minnesota
Construction
Other land improvement
Other
Column Total