? Recipient's'internal reference number (e.g.,. Invoice;, eceipt; WarTant, Voucher: aim Check; or Schedule
<br />3 Date: of.deliveryof articles, completion of work or performance services. (per document):.
<br />List Documentation (Recipient's payroll, material out of'recipient's stock, recipient owned equipment and.
<br />name of vendoror contractor) by category (Materials, Labor,:Fees) and line item in the approved project line
<br />item budget.,' Provide a brief description. of the articles or services. List service dates per each :invoice.
<br />v
<br />48
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<br />REF NOS
<br />DATES
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<br />This payment represents...' % .. cornpletion.of the project. ....: TOTAL
<br />? Recipient's'internal reference number (e.g.,. Invoice;, eceipt; WarTant, Voucher: aim Check; or Schedule
<br />3 Date: of.deliveryof articles, completion of work or performance services. (per document):.
<br />List Documentation (Recipient's payroll, material out of'recipient's stock, recipient owned equipment and.
<br />name of vendoror contractor) by category (Materials, Labor,:Fees) and line item in the approved project line
<br />item budget.,' Provide a brief description. of the articles or services. List service dates per each :invoice.
<br />v
<br />48
<br />y
<br />
|