726DVR7525 Appendix IV Monthly Acctg Form.xlsx

This is a monthly accounting report form issued by the Alaska Department of Labor & Workforce Development, Division of Vocational Rehabilitation, Business Enterprise Program (BEP), for vendors providing vending machine services under contract 726DVR7525. The form requires vendors to submit detailed meter readings and sales data for each vending machine location, categorized by product type (snack, cold food, soft drink, juice, coffee, etc.) and location designation (federal or non-federal). Vendors must report beginning and ending meter readings, gross sales amounts, applicable commission percentages, and total commissions due for each machine during the monthly reporting period.

Commission payments must be submitted with the completed form by the 15th day of the month following the reporting period, mailed to the Division of Vocational Rehabilitation Business Enterprise Program at the specified Juneau address. Vendors are required to certify under penalty of perjury that all commission amounts shown are accurate and in compliance with the vending services agreement terms and conditions. The form may be submitted in computerized format with prior BEP approval, providing flexibility for vendors managing multiple machine locations while maintaining standardized reporting requirements for the state program.