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[null,null,null,null,"INVOICE NO."]
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[null,null,null,null,"DATE"]
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[]
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[null,"TO"]
[null,"City of Bainbridge Island"]
[null,"280 Madison Ave N"]
[null,"Bainbridge Island, WA"]
[null,"(206) 780-7633"]
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[null,"ACTIVITY",null,null,"PAYMENT TERMS"]
[null,null,null,null,"Due w/in 60 days of invoice receipt"]
[null,null,"AMOUNTS"]
[null,"EXPENSE CATEGORY","AWARD","Q1","Q2","Q3","Q4","AWARD REMAINING"]
[null,null,null,null,null,null,null,{"$f":"+C19-D19-E19-F19-G19","v":0}]
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[null,null,null,null,null,null,null,{"$f":"+C21-D21-E21-F21-G21","v":0}]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,null,null,null,null,null,null,0]
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[null,"TOTAL",{"$f":"+C19+C21+C23+C25+C27+C29+C31+C33+C35+C37+C39+C41+C43+C45","v":0},0,0,0,{"$f":"+G19+G21+G23+G25+G27+G29+G31+G33+G35+G37+G39+G41+G43+G45","v":0},{"$f":"+H19+H21+H23+H25+H27+H29+H31+H33+H35+H37+H39+H41+H43+H45","v":0}]
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[null,null,null,null,null,null,"TOTAL REQUESTED THIS INVOICE "]
[null,"Additional Comments:"]
[]
[]
[]
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[null,"I certify that the statement of work performed above is true and accurate and that the expenses listed above were expended on the scope of services referenced in the contract described above. I certify that the documentation of these allowable expenses is on file with the agency listed above and is available for inspection or audit by the representatives of the City of Bainbridge Island and/or Washington State Auditor at any time. "]
[]
[]
[null,"Signature",null,"Printed Name/Title",null,null,null,"Date"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," "]

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