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<br />Miami Dade County Page 3 of 3 <br />Domestic & Family Violence <br /> SUMMARY STATEMENT OF QUARTERLY PROJECT COSTS <br /> (Equipment. Supplies. Material Expenses) <br />City: Date of Claim: <br />Project Name: Claim Number: <br /> Item Date Check <br />Vendor Descriotion Paid Number Amount <br />TOTAL AMOUNT OF EXPENSES: <br />NOTE: Copies of all Invoices and cancelled checks for this request must be attached to process payment. <br />