SR2S Invoice Template - Excel

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SR2S Invoice Template - Excel Powered By Docstoc
					                                                    Safe Routes to School
                                                  Non-infrastructure Invoice
Organization Name:
Fiduciary Name (if not organization above) :
Street Address                                            Prime Contract Number: 2006-0483
City, State, ZIP                                          Authorization Number: 2
Phone:                                                    Billing Number:
Fax:                                                      Billing Period:
Date:

                                                                                EXPENDED      CUMULATIVE     REMAINING
NON-INFRASTRUCTURE BUDGET LINE ITEMS                       TOTAL BUDGET
                                                                               THIS PERIOD   EXPENDITURES     BALANCE
Personnel Expense:                                                                                                   $0.00




Non-personnel Expense:                                                                                               $0.00




Other Expense:                                                                                                       $0.00




GRAND TOTAL:                                                         $0.00           $0.00          $0.00           $0.00

Make Check Payable To: ( Name and Address)

Name of Person Completing Invoice (please print):
Contact Phone:
Contact Email:

Please submit this invoice and questions to:
Mary Grill, Contract Manager
Michigan Fitness Foundation                    Phone: 517.908.3832
P.O. Box 27187                                 Fax: 517.347.8145
Lansing, MI 48909                              Email: mgrill@michiganfitness.org                            Updated: 10/1/09