726DVR7525 Appendix IV Quarterly Acctg Form.xlsx

XLSX spreadsheet 24 KB Posted

Attached to
Informal Request for Proposal # 726DVR7525 - Vending Machine Services, Juneau Area
Solicitation number
IRFP 726DVR7525
Issued by
Anchorage Municipality, Alaska

About this file

This file is a Quarterly Accounting Report form issued by the State of Alaska Department of Labor & Workforce Development, Division of Vocational Rehabilitation, Business Enterprise Program (BEP), for vending machine commission tracking and submission. The form is designed for vendors operating vending machines in state and federal government buildings within the Juneau area to report their gross sales, applicable commission percentages, and commission amounts due on a quarterly basis. Vendors must complete the form by identifying each vending machine location, distinguishing between federal and non-federal sites, specifying product types such as snacks, cold food, soft drinks, juice, or coffee, and recording meter readings for the beginning and ending of each reporting period. The form requires vendor certification under penalty of perjury that all commission calculations are accurate and comply with the vending services agreement terms and conditions.

Payment of commissions must be submitted with the completed form and postmarked by the 15th day of the month following the end of the reporting period, with all documents mailed to the BEP program manager at the Department of Labor & Workforce Development office in Juneau. While a computerized version of the form may be used with BEP approval, vendors must ensure accurate recording of gross sales figures and proper calculation of commissions owed based on contractually established commission percentages. This accounting mechanism ensures regular monitoring of vending machine revenue generated from state and federal property and maintains compliance with the vending services agreement for the ongoing operation of machines throughout the Juneau area.

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Sheet1

APPENDIX IV

QUARTERLY ACCOUNTING REPORT FOR SUBMITTING
VENDING MACHINE COMMISSIONS
Vendor Name:_____________________________ City:_______________________
Contract #: _____________________ Reporting Period:______Month:______Year_____
Each Vending MachineMeter ReadingMachineProductGross SalesCommComm.
LocationBegEndTypeType%Due
Total Commissions Submitted
*Indicate the location as federal (F) or non-federal (N)
**Snack, Cold Food, Soft Drink, Juice, Coffee, etc.
UNDER PENALTY OF PERJURY, I DECLARE I HAVE EXAMINED THIS REPORT AND CERTIFY THAT
THE COMMISSIONS SHOWN HEREON ARE CORRECT TO APPLICABLE TERMS AND CONDITIONS
OF THE VENDING SERVICES AGREEMENT.
Signature: ______________________________Date: __________________________
Title: ___________________________________
Payment in full must be postmarked by the 15th day of the month following the end of the month of
reporting period. Please mail this report with your check or money order to:
Department of Labor & Workforce Development
Division of Vocational Rehabilitation
Business Enterprise Program
Attn: Ellen Doig
801 West 10th Street, Suite A
Juneau, AK 99801-1894
A computerized form may be used with BEP approval.

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File details come from the government source that posted it. Updated .