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FWC Contract No. 23230 <br />Billed to: <br />Florida Fish and Wildlife Conservation Commission <br />Hunter Safety and Public Ranges Section <br />620 S. Meridian Street <br />Tallahassee, FL 32399-1600 <br />Remit Payment to: <br />Grantee: <br />FEID#: <br />Address: <br />Attachment E <br />INVOICE <br />Invoice No. <br />Invoice Date: <br />FWC Contract No. _ <br />Amount of Grant Award $ <br />Billing Period / Dates of Service: <br />From: _ <br />To: <br />PROJECT COSTS: <br />In -Kind Services — Non-cash expenses: <br />Amount <br />In-kind service: Administration <br />$ <br />In-kind service: Project Management <br />$ <br />In-kind service: Other <br />$ <br />Deliverables/Services Provided (Scope of Work)—Cash expenditures <br />Amount <br />Total Project Cost: <br />$ <br />Grantee Share (_%): - <br />$ <br />Amount for Reimbursement: <br />$ <br />I 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 />