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<br /> =,. 731.. <br /> Reimbursement Activity Summary Cost Sheet <br /> Billing Period <br /> LPST ID No.: 92630 From: 10/01/95 <br /> Facility Registration No.: 21680 To: 12/31/95 <br /> tl ACTIVITY I Operation and Maintenance ~ <br /> <br /> <br /> II Invoice Invoice Amount <br /> Company Invoice No. Date Amount Requested <br /> KINK()'~ $ $ <br /> 39001082249 10-23-95 $ 28.00 S 28.00 <br /> 39001082211 10-20-95 $ 30.90 $ 30.90 <br /> S $ <br /> KELLY TEMPORARY SERVICES $ S <br /> 51649622 12-25-95 $ 786.40 $ 786.40 <br /> 50700814 12-18-95 $ 786.40 S 786.40 <br /> 49717242 12-11-95 $ 786.40 $ 786.40 <br /> , <br /> 48702286 12-04-95 S 786.40 S 786.40 <br /> 47642442 11-27-95 $ 629.12 $ 629.12 <br /> 46731816 11-20-95 S 786.40 S 786,40 <br /> 4~ 11 n..9<) S 7Rh.40 S 7Rh Lln <br /> 44683910 11-06-95 S 786.40 S 786.40 <br /> Ll~ In-<n..qc; S 7Rh Lln $ 7Qc:. 111'"\ <br /> 42716043 10-23-95 S 786,40 S 786.40 <br /> 41701186 10-16-95 S 786.40 S 786.40 <br /> 40700072 10-09-95 S 786.40 S 786.40 <br /> $ S <br /> MASSENGALE ARMATURE ~VORKS S $ <br /> R-00261 12-22-95 S 168.57 S 168.57 <br /> S S <br /> Total Amount Requested for Activirv .:....."............................. Sc¡.506.99 <br /> Attach to this Reimbursement Activity Summary Cost Sheet (Schedule A) all appropriate Invoices and Subcontractor Invoices for the <br /> above referenced Activity. <br /> TNRCC APPLICATION FOR RE~mURSE!\ŒNT E-Z FORi\-! <br /> TNRCC-O230-EZ (11-1-94) <br /> (SCHEDULE A) <br />