726DVR7533 Appendix IV Quarterly Acctg Form.xlsx

This is a Quarterly Accounting Report form for the Alaska Department of Labor and Workforce Development, Division of Vocational Rehabilitation, Business Enterprise Program (BEP), used for tracking vending machine commissions in the Ketchikan area. The form requires vendors to submit detailed meter readings, gross sales, and commission calculations for each vending machine location on a quarterly basis, with the reporting period, machine location (designated as federal or non-federal), product type (snack, cold food, soft drink, juice, coffee, etc.), beginning and ending meter readings, commission percentage, and total commissions due clearly itemized. Vendors must certify the accuracy of reported commissions under penalty of perjury and submit the completed report with full payment by the 15th day of the month following the end of the reporting period to the specified BEP office in Anchorage.

The form establishes payment and submission procedures requiring vendors to mail the quarterly accounting report along with a check or money order to the Division of Vocational Rehabilitation Business Enterprise Program, Attn: Olivia Carr, 3301 Eagle Street, Suite 302, Anchorage, AK 99503. The form indicates that computerized versions may be used with BEP approval, providing flexibility in submission methods while maintaining standardized reporting requirements for commission tracking and reconciliation across all vending machine operations under the contract.