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Invoice Number: <br /> INVOICE-Cost Reimbursement Contracts <br /> Snohomish County Human Services Department-3000 Rockefel I er,MIS 305,Everett,WA 98201 <br /> Actual: 0 Estimated:❑ <br /> Contracting City and Address Contract#: B H-20-62-06-198(1) <br /> City of Everett Project Title: First Responders Flex Fund <br /> 2930 Wetmore Ave Contract Manager: Cleo Harris(425)388-7423 <br /> Everett,WA 98201 Reporting Period: To: <br /> AUTHORIZING SIGNATURE: Date: <br /> (sign in ink) <br /> SUB Account Title Current Expenditures Contract To Date Total Contract Budget Contract Budget <br /> OBJ Expenditures Balance <br /> 52 Flex Funds $ 15,837.00 $ 15,837.00 <br /> TOTALS $ - $ - $ 15,837,00 $ 15,837.00 <br /> REVIEWED FOR PAYMENT: <br /> AUTHORIZED FUND: <br /> ATTACH: CONTRACTOR CERTI Fl CATI ON FORM <br /> Exhibit D-1 <br /> BH-20-62-06-198(1) <br /> City of Everett <br /> Page 1 of 2 <br />