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Exhibit D <br />BUDGET SUMMARY REPORT FORM <br />2017-2018 Waste Reduction & Recycling Grant Program <br />City: <br />Date: <br />Address: <br />Phone: <br />Invoice <br />Report Period: <br />Preparer's Name: <br />Contract <br />Total amount requested this period: <br />Total amount previously invoiced: <br />Original interlocal amount: <br />Total amount charged to date: <br />$ <br />Amount remaining for completion of interlocal: <br />$ <br />Scope of Work <br />Current <br />Amount <br />Task <br />Description <br />Budget <br />Quarter <br />Previously <br />Remaining <br />(Task/title) <br />Costs <br />Invoiced <br />Balance <br />2 <br />$ <br />—3 <br />$ <br />4 <br />$ <br />5 <br />$ <br />—6 <br />$ <br />7 <br />$ <br />TOTALS <br />$ <br />$ <br />$ <br />$ <br />For King County Use <br />Contract # 0 <br />Project 1126942 Org 720122 <br />Exp.Account 54150 Task <br />22.000 <br />Purchase Order # Requisition # <br />Receipt <br />Supplier # Supplier Pay Site <br />Invoice # Payment Type <br />Total charges this period are approved for payment: <br />$ <br />Project Manager: <br />Date <br />23 <br />