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<br /> ~, btJAð <br /> Reimbursement Activitv Summary Cost Sheet <br /> Billing Period. <br /> LPST ID No.: 92680 From: 07/01/95 <br /> Facility Registration No.: 21680 To: 09/30/95 <br /> ~ ACTIVITY II <br /> I Operation and Maintenance <br /> <br /> Invoice Invoice Amount <br /> COIDuanv Invoice No. Dare Amount' Requested <br /> .ttle Lumber Company $ $ <br /> 281872 07/24/95 $ 8.40 $ 8.40 <br /> 281452 07/19/95 $ 15.34 $ 15 . 34 <br /> .- .' <br /> 281286 07/18/95 $ 38.43 $ 38.43 <br /> $ $ <br /> Wal-Mart Stores, Inc. $ $ <br /> ¡)L!. no I?r:.. lOr:.. $~1 11.1 $ ~l ;11 <br /> <br /> 2549388 08/30/95 $ 19.92 $ 19.92 <br /> ~l no I?l /()C:: $ 11 ') e:;e:; $ ;1') c:c: <br /> 2974073 08/04/95 $ 30.46 $ 30.46 <br /> 2974071 08/08/95 $ 25.60 $ 25.60 <br /> 3213742 ()7 /27 /q,; $ q - hL!. $ 0 hLl <br /> 3166369 07/24/95 S 2.89 $ 2.89 <br /> 3166499 n7/?Ll/q,; $ 7 7'P.. $ 7 7'P.. <br /> 3166408 07/21/95 S II. 94 S 11. 94 <br /> ?';4QQQ? n7 /1,1 jq,; $ 1h 41 S 1h Ll ~ <br /> 2549837 07/10/95 $ 30.81 $ 30.81 <br /> ?r:..LlO'Qr:.. n7 jnr:. lOr:.. $ ') e:;o $ ? CoO <br /> <br /> $ S <br /> $ S <br /> $ S <br /> TotalAmountRequestedforActivitY .:..................""""""""" 1$314.39 <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 REß'lBURSE!\fENT E-Z FORM <br /> Th'RCC"{)23O-EZ (11-1-94) <br /> (SCHEDULE A) <br />