HomeMy WebLinkAboutExhibit 11ATTACHMENT G
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REIMBURSEMENT SUMMARY SHEET
URBAN AND COMMUNITY FORESTRY GRANT PROGRAM
Name of Grantee: Contract No.:
Item #
Descriptions of Items or Services Purchased
(Attach copies of canceled checks, receipts and
invoices)
Grant Amount
Match Amount
Totals_:.
Remit payment to:
Note: Two or more written quotes, or a written record of telephone quotes, must be obtained (and
documented) for all individual purchases/expenditures over $2,500 and less than $25,000. Should
verbal quotes be received, name and address of company and dollar amount quoted shall be
documented in writing. Sealed bids are required for all purchases over $25,000.
AUTHORIZED SIGNATURE:
Grantee Date