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FWC Contract No. 15120 Attachment E <br /> INVOICE <br /> Billed to: Invoice No. <br /> Invoice Date: <br /> Florida Fish and Wildlife Conservation Commission FWC Contract No. <br /> Hunter Safety and Public Ranges Section Amount of Grant Award $ <br /> 620 S. Meridian Street <br /> Tallahassee, FL 32399-1600 Billing Period/ Dates of Service: <br /> Remit Payment to: From: <br /> Grantee: To: <br /> FEID#: <br /> Address: <br /> PROJECT COSTS: <br /> In-Kind Services—Non-cash expenses: Amount <br /> In-kind service: Administration $ <br /> In-kind service: Project Management $ <br /> In-kind service: Other $ <br /> Deliverables/Services Provided (Scope of Work)—Cash expenditures Amount <br /> Total Project Cost: $ <br /> Grantee Share (_%): - $ <br /> Amount for Reimbursement: $ <br /> 1 hereby certify that the above costs are true and valid costs incurred in accordance with the project Agreement, and <br /> that the matching funds, in-kind or cash, were utilized toward the project in this Agreement. <br /> Signed: Date: <br /> Project Manager <br /> Page 1 of 1 <br /> I <br />