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Invoice Number: <br />Actual:Estimated: <br />Contracting City and Address: Contract #:BH-24-62-06-198 <br />City of Everett Project Title:First Responder Flex Fund <br />2930 Wetmore Ave Contract Manager:Cleo Harris (425) 388-7423 cleo.harris@snoco.org <br />Everett,WA 98201 Reporting Period:To: <br />AUTHORIZING SIGNATURE: Date: <br />52 $ 14,840.00 $ 14,840.00 <br /> $ - $ - $ 14,840.00 $ 14,840.00 <br />Exhibit D <br />BH-24-62-06-198 <br />City of Everett <br />Page 1 of 2 <br />ATTACH: CONTRACTOR CERTIFICATION FORM <br />Contract Budget <br />Balance <br />TOTALS <br />Total Contract Budget <br />Flex Funds <br /> INVOICE-Cost Reimbursement Contracts <br />Snohomish County Human Services Department - 3000 Rockefeller, M/S 305, Everett, WA 98201 <br />Contract To Date <br />ExpendituresCurrent ExpendituresSUB <br />OBJ Account Title <br />(sign in ink) <br />x