Attachment D - Monthly Expense Report.pdf
PDF 111 KB Posted
- Attached to
- Breastfeeding Peer Counseling Services
- Solicitation number
- 25RFP-25-0904004-005
- Issued by
- Kingsbury County, South Dakota
About this file
This is a monthly expense report template (Attachment D) for the Growing Up Together Breastfeeding Peer Counseling Services program in South Dakota. The document is structured to track expenses across multiple locations including Belle Fourche, Aberdeen, Sioux Falls, Platte, Sisseton, Brookings, Huron, Custer, and Ft. Pierre, as well as a BF Specialist position.
The expense report template is divided into two main sections: a manager section tracking expenses such as payroll, FICA, unemployment, workers compensation, liability insurance, mileage, meals and lodging, communication, supplies, equipment, and indirect/legal costs; and a Breastfeeding Peer Counselors section tracking payroll, FICA, unemployment, workers compensation, liability insurance, and phone expenses for each location. The document requires certification that all costs are actual and allowable during the invoice period and includes spaces for signature and date validation.
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Text version
Grant Award -
Expenses
Growing Up Together
Manager
Payroll
FICA
Unemployement
Work Comp
Liability & Director Ins
Mileage
Meals & Lodging
Communication
Supplies
Equipment
Indirect/Legal
Total -$
Breastfeeding Peer
Counselors
Belle Fourche Aberdeen Sioux Falls Platte
BF
Specialist Sisseton Brookings Huron Custer Ft. Pierre
Payroll
FICA
Unemployment
Work Comp
Liability & Director Ins.
Phone
Total -$ -$ -$ -$ -$ -$ -$ -$ -$ -$
-$ Total Expenses
I certify that this request represents actual, allowable costs incurred during the invoice period and these costs are appropriate in accordance with this agreement.
Signature Date
Attachment D
File details come from the government source that posted it. Updated .