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Invoice Number: <br /> I NVOI CE-Cost Reimbursement Contracts <br /> Snohomish County Human Services Departrrrent-3000 Rockefeller,MIS 305, Everett,WA 98201 <br /> Actual: ❑x Estimated:❑ <br /> Contracting City and Addr s: Contract#: HCS-21-80-04-198 <br /> City of Everett Project Title: Motel Shelter Program <br /> 2930 Wetmore Ave Contract Manager: Debbi Trosvig <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 /> M isc.(motel and other shorter <br /> $ 82,671.00 $ 82,671.00 <br /> ccstst <br /> TOTALS $ - $ - $ 82,671.00 $ 82,671.00 <br /> REVIEWED FOR PAYMENT: <br /> AUTHORIZED FUND: <br /> ATTACH: CONTRACTOR CERTIFICATION FORM <br /> Exhibit D <br /> HCS-21-80-04-198 <br /> City of Everett <br /> Page 1 of 2 <br />