Laserfiche WebLink
<br /> 7:JAIl <br /> Reimbursement Activity Summary Cost Sheet <br /> Billing Period <br /> LPST ID No.: 92680 From: 1 O/nl /q:; <br /> Facility Registration No.: 21680 To: 12/31/95 <br /> ~ ACTIVITY I OPERATION AND MAINTENA.l\JCE ij <br /> <br /> <br /> IL Invoice Invoice Amount <br /> Company Invoice No. Date Amount Reauested <br /> .ADIO SH.J\CK-TAi'IDY CORPORATION $ $ <br /> 192773 10-27-95 $ 247.98 S 2L1.7 q~ <br /> $ $ <br /> SAN MARCOS UTILITIES $ S <br /> 33698010 01-08~96 $ 63.06 $ 63.06 <br /> 33704000 01-08-9(-; $71.7 c;l $ '<7 c:; 1 <br /> 33698010 12-18-95 $ 71. 00 S 71.00 <br /> 33704000 1 :;>-1 R-qc; $ Ll.h Ll.l $ 11t: 111 <br /> , <br /> 33698010 11-08-95 $ 55.55 $ 55.55 <br /> 33704000 II-OR-gO; $?L1 QQ $ ')11 no <br /> S $ <br /> SAN MARCOS PliJ1-'IBING SUPPLY S S <br /> 01259 12-19-95 $ 13.60 S 13.60 <br /> 011L1.(-; 1 ?-l LI. -Qt:; $ ') Iìlì S ') f"If"I <br /> $ S <br /> IDEPARINENT OF INFO RESCXJRCES $ S <br /> 031945 10-26-95 $ 7i-()O S 7< Iìlì <br /> 031918 10-21-95 Sl16.00 S 116.00 <br /> $ $ <br /> 'T'fl'T'T'fP .- - - $ $ <br /> 290141 10-13-95 $ 23.98 $ 23.98 <br /> Total Amount Reauested for Activirv .:..,.......""""""""""""" Is785.07 <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 REL\ffiURSEMEi'<'T E-Z FORo">! <br /> TNRCC-4J230-EZ (11-1-94) <br /> (SCHEDULE A) <br />