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M-. LTM ur <br /> 7,J. -M-5-MR, <br /> 480 <br /> MEN-' <br /> t <br /> -fa .yrHISINY <br /> -4-;:X-N M A. >_-axay <br /> -!� <br /> maw,- <br /> In <br /> x <br /> si4 54 VR <br /> a <br /> N A <br /> N" mlw� <br /> n. BE Ew <br /> Rviemr yulya DWW'Wa <br /> R <br /> UST SPra®ds <br /> Date: CF hoe <br /> oat <br /> Invoice Invoice Amount "t Comments <br /> JR,pftpp� L119111NO Fund Meligible <br /> No. <br /> Rata Previous Total <br /> 01) Plevious <br /> 1:�Fj 11-97 529.50 529-50 0.00 <br /> 1 E3706 "(W9E-- —3.6 11 0.00 <br /> MH <br /> 2 E46,85 U1198 3,621-68 3 52'--45B <br /> 120.00 OAD <br /> 3 R74C NOW 0.00 <br /> — — 7..l, . W 971.94 4 YT741 071OW96 97190 <br /> 12fS8 1. 601.00 0.00 <br /> 5 <br /> — RTA-$236-50 <br /> OW IMM 29650 D.00 <br /> tm <br /> _,27EK 1-J <br /> 7 1 1010113J9 U OMG <br /> 0.66 <br /> 0-00 <br /> 10 0.40 <br /> ii <br /> U <br /> 14 0.00 <br /> f Ills Rejuest <br /> Total costs approved to date' claimaint will carry this amouritfonvaird t)D raid"SplaWsh"If as'Amourd ftqviisted�11"irevIlous TOUr- <br /> r ccat eligIbility maybe comprornlised. <br /> SeClion 2W2.1 0)requiresthree bids for any work aftr DerAmber 2�1991,0 <br /> PEND NG 0099'3 PM in order for <br /> Cosm that h3w been caftorbed as pandm may be subsiar"tod at:Fater tine with a futUte reirrioursepient request.and do not muile an ap <br /> I information is requI because documemilation In ft Ile is inbuffidOnt andlor irk"equele to make a <br /> stafl to complete t-te eligibility review. However,add im U=F Re9tiationa).cAmb"peMing"ajdAkmall inturymdm will <br /> Feasonabile arid necessary costdetarniiingfion(Audita 4,Section 2812.2(m),Petroleum at above"pendire costs <br /> be reevaluated wim requested suppotiling clowmartalion is sublI 14)the Fend w*1 a future 904dIt nquast I nose, <br /> am a resat of hrmtkieli information tubmilliI Fokmwg submillat of additional irjorn.aVOR should"eligibility renew determine that the costs;and <br /> unnecessary,triscosKs)*0 be made ineligible- C <br /> associated a*AII am unmasOnaW end <br /> FOOTNOIES <br /> ARE OF pREAPPROVED AMOUNT 15) 31,11113MITTEDLABORATORY COSTS AR "t WAVjbxy cog is in excess of Me p"proved arnourrt. Per Fund regulation 2812.1(dl,to Fund reimbursement is <br /> Complete payinext of this invoice coLdJ Ind he auttwuled since happear'S %- eads to be supplied WOR!payment am be aAonzed fur the aniounit delien-nined <br /> IiiiI to that airwtink which is to kyw W Or pre-approvad amount AdcNoinal infOrwilitiOn tQ jusVY"0 -rages" <br /> pending. Please.note SM the number of samples analyze as Yell as of 31%*sis Pertcrribed exceeded the pre-apps <br /> sampling prdtoofill- <br /> pm,4� <br /> estimate,La.Task Name shmid be klealffied and amount pend should be VanniI bY <br /> Al Pre-411PPM41eWrequires that 1lomiat-of in�ms rrk-M tINE format of Ma anginal <br /> payrnerAmcIuml will not be p=%.-ed urAm this requimfwritisomoied with- <br /> pre-approved Task in the future,Ow <br />