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1 SAMPLE REPORT <br /> fDC Florida Disaster Consulting,LLC <br /> Preparedness—Response—Recovery-Mitigation <br /> Payment Release Verification (Insert client and PW Number) <br /> Debris Removal <br /> After a cursory review on (DATE) of the invoices listed in the <br /> summary below, a release in the amount of$XX.XX was made by <br /> (insert client name) to (insert vendor name) for debris removal <br /> services. as recommended by FDC. <br /> 1 <br /> *Further amounts and reconciliations may change recommended for <br /> payment invoice amounts when final invoice validation and reconciliation is <br /> performed. <br /> • DATES OF SUBMITTED APPROVED AMOUNT <br /> INVOICE # SERVICE AMOUNT AMOUNT WITHHELD <br /> 1 <br /> 1 <br /> Signature: <br /> Date: <br /> Title: <br /> 1 <br /> 1 <br /> 0.0.00001E0LOreICnd00L. nit nu I I iTelimuIunn].n DO mff2CnderrSn0 dGdCDILLEter0CnmtCnt0011 <br /> 1 <br />