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New Contract Invoicing and Reporting Info #7 Attachment 1 27 2017 Pdf PDF

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Preview New Contract Invoicing and Reporting Info #7 Attachment 1 27 2017 Pdf

Alternatives to Abortion Invoice Contract # CS170042008 Vendor Name: Mother's Refuge Vendor Number: 43145462800/MB00094144 Vendor Address: 14400 E 42nd St S Ste #220 Independence, MO 64055 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 $ 92,997.08 $ - $ 18,599.42 Quarterly expenditure adjustment: $ - Total Due: $ 18,599.42 Allocation Remaining $ 74,397.66 Signature: ________________________________________________ Mother's Refuge 14400 E 42nd St S Ste #220 Independence, MO 64055

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