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Name of Agency /City: <br />Project Title: <br />Vendor Name <br />Page 5 of 5 <br />SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS <br />(Operating Capital Outlay) <br />Date: <br />Claim Number: <br />Item Date Check/ACH <br />Description Paid Number Amount <br />TOTAL OPERATING CAPITAL OUTLAY AMOUNT: $0.00 <br />NOTE: Copies of all invoices, cancelled checks, purchase orders for this request must be attached to process <br />this reimbursement. <br />