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Exhibit C Payment Request Summary Form -CZ219 <br />DEPARTMENT OF ENVIRONMENTAL PROTECTION <br />FLORIDA COASTAL MANAGEMENT PROGRAM <br />INSTRUCTIONS FOR COMPLETING <br />EXHIBIT C - PART 2 <br />INVOICE REPORT DETAIL INSTRUCTIONS <br />DEP AGREEMENT NO.: This field will auto populate based on the DEP grant agreement number entered on Exhibit C - Part 1. <br />TASK AMOUNT REQUESTED: This field will auto populate after entering in all the detail information into the report, to reflect the total requesting <br />for reimbursement. <br />TASK NO.: This field will auto populate based on the deliverable number entered on Exhibit C - Part 1. <br />PROJECT TITLE: This field will auto populate based on the grant agreement title entered on Exhibit C - Part 1. <br />PERFORMANCE PERIOD: This field will auto populate based on the Performance Period dates entered on Exhibit C - Part 1. <br />NOTE: All shaded areas will automatically populate with each categories totals, based on the detail information that you provide for each line item. <br />SALARIES: Provide an itemized listing of expenditures for Salaries, if applicable. Complete all fields listed for the section, for the task requesting <br />reimbursement on. <br />FRINGE BENEFITS: Provide an itemized listing of expenditures for Fringe Benefits, if applicable. Complete all fields listed for the section, for the <br />task requesting reimbursement on. <br />INDIRECT CHARGES: Provide the amount of the indirect to be charged to this Deliverable, if applicable. Complete all fields listed for the section, <br />for the task requesting reimbursement on. <br />CONTRACTUAL SERVICES: Provide an itemized listing of expenditures for Contractual Services, if applicable. Complete all fields listed for the <br />section, for the task requesting reimbursement on. <br />TRAVEL: Provide an itemized listing of expenditures for Travel, if applicable. Complete all fields listed for the section, for the task requesting <br />reimbursement on. <br />EQUIPMENT: Provide an itemized listing of expenditures for Equipment, if applicable. Complete all fields listed for the section, for the task <br />requesting reimbursement on. <br />MISCELLANEOUS EXPENSES: Provide an itemized listing of all other miscellaneous expenses, if applicable. Complete all fields listed for the <br />section, for the task requesting reimbursement on. <br />Required Back-up Documentation for each deliverable: <br />EXHIBIT C - PART 2 - INVOICE REPORT DETAIL IS REQUIRED FOR EACH DELIVERABLE. <br />Copies of Invoices (Not applicable to state agencies) <br />Copies of canceled checks (Not applicable to state agencies) <br />FLAIR Report (State agencies only) <br />Copies of Volunteer Logs (if applicable) <br />** PAYMENT WILL BE BASED ON COMPLETION OF DELIVERABLES: Deliverables must be submitted and approved prior to payment ** <br />Part 2 -Instructions <br />Page 5 <br />