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CONTRACTUAL DETAIL <br />Complete one table per Task containing Contractual Reimbursement Requests <br />Add rows as needed for each table. Add tables as needed, if more than one task is included in this invoice. <br />Be sure to attach the executed agreement(s) between the Grantee and Sub -contractors (if not previously submitted). <br />Be sure to attach original invoices to the Grantee, and proof of payment documents. <br />Formulas are included in some of the spreadsheet cells, denoted with "$ - . <br />Task Number: <br />1 7 <br />Contractual Services <br />Performance Period <br />or Date Completed <br />Sub -contractor Name <br />Description of Good/Services <br />Provided <br />Sub- <br />contractor <br />Invoice <br />Number <br />Sub- <br />contractor <br />Invoice Date <br />Amount Paid <br />( Total on the <br />check paid) <br />Payment Method <br />Used <br />Check # or CC <br />Type (If <br />applicable) <br />Proof of Payment <br />Provided <br />Amount Claimed <br />(Not to exceed <br />task bud eted <br />9 <br />amount) <br />1/10/19 - 4/15/19 <br />EXAMPLE - John Smith <br />Completed Shareholder Meeting <br />1 and reports <br />15846 <br />05/01/19 <br />$15,000-00 <br />Check <br />24589 <br />Cancelled Check <br />$ 2,500,00 <br />Contractual Total <br />$ - <br />R2114 - Exhibit C Page 2 <br />Cf) --A <br />�TIm <br />? D O <br />—I <br />G <br />mZ <br />O <br />�z <br />--I <br />D <br />G7 <br />M <br />