726DVR7533 Appendix IV Monthly Acctg Form.xlsx

This is a Monthly Accounting Report form submitted by the Alaska Department of Labor & Workforce Development, Division of Vocational Rehabilitation Business Enterprise Program (BEP) for vending machine commission reporting. The form is designed for vendors operating vending machines in state and federal government buildings in the Ketchikan area to document and submit monthly commission payments. Vendors must report meter readings, product types, gross sales, and applicable commission percentages for each machine location, with distinction made between federal (F) and non-federal (N) placements. The reporting period requires documentation of beginning and ending meter readings, product categories such as snacks, cold food, soft drinks, juice, and coffee, and the corresponding commission amounts due based on contractual terms and conditions.

Payment submission requirements mandate that vendors submit completed reports with full commission payments postmarked by the 15th day of the month following the reporting period. Submissions must be mailed to the BEP office at the Division of Vocational Rehabilitation in Anchorage, attention Olivia Carr, at 3301 Eagle Street, Suite 302, Anchorage, AK 99503. The form requires vendor certification under penalty of perjury that all commission amounts are accurate and comply with applicable vending services agreement terms. Vendors have the option to submit a computerized version of this form subject to BEP approval, providing flexibility in reporting methods while maintaining standardized documentation and accounting controls for the vending machine services contract.