ACTIVITY WORKSHEET for OUTSIDE CONTRACTORVENDOR INVOICES by parpar

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									                                          COMMONWEALTH OF PENNSYLVANIA
 PEMA-DAP-6                         PENNSYLVANIA EMERGENCY MANAGEMENT AGENCY
 Rev. 1/00

                   ACTIVITY WORKSHEET for OUTSIDE CONTRACTOR/VENDOR INVOICES
                                      (Contract Services, Equipment Rentals, Materials, Supplies)


 PW No:                     APPLICANT:
 CATEGORY:                  LOCATION AND DESCRIPTION:


                       Description                          Unit of
  Contractor/               of                              Measure                                                   Invoice         Check
    Vendor         Service or Purchase     Quantity       (if Applicable)       Unit Price         Cost             No.    Date      No. Date
                                                                            $                $




WORKSHEET No:______________________ DATE____________________                                     TOTAL = $ _______________________

PREPARED AND CERTIFIED BY:____________________________________

TOTAL TRANSFERRED TO PW SUMMARY LOG (DAP-8): YES - NO (Circle One)

								
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