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New Contract Invoicing and Reporting Info #3 Attachment 1 27 2017 Pdf PDF

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Preview New Contract Invoicing and Reporting Info #3 Attachment 1 27 2017 Pdf

Alternatives to Abortion Invoice Contract # CS170042003 Vendor Name: Faith Maternity Care Vendor Number: 13421808001/MB00099548 Vendor Address: 1900 Lake Dr Fulton, MO 65251 Bill To: Office of Administration Commissioner's Office 201 W. Capitol Ave, Room 125 Jefferson City, MO 65101 Invoice Number: Invoice Date: Service Period: Prior Monthly Total Contracted Invoiced Award Allocation Total Amount $ 37,029.17 $ - $ 7,405.83 Quarterly expenditure adjustment: $ - Total Due: $ 7,405.83 Allocation Remaining $ 29,623.34 Signature: ________________________________________________ Faith Maternity Care 1900 Lake Dr Fulton, MO 65251

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