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Please Remit to: <br /> ql. <br /> University of Colorado University of Colorado Denver <br /> Office of.Grants and Contracts- F428 <br /> Denver Anschutz Medical Campus Deenvver CO 80291-0238 <br /> United States <br /> INVOICE <br /> Bill To: <br /> Colorado Office of Water Conservation & Invoice No : 3535400-002 <br /> 1313 Sherman St., Room 721 Date : 01/19/2012 <br /> Denver CO 80203 Contract No : OEPDA12000000005 <br /> United States Claim Period : 12/01/2011 to 12/31/2011 <br /> PI Name : Deborah Shaun Kirshen Thom <br /> Description Budget Current Cumulative <br /> Faculty Salary 16,664.00 0.00 9,023.44 <br /> Faculty Benefits 2,617.00 0.00 2,194.54 <br /> Operating Expense Gen Budget 3,600.00 557.68 557.68 <br /> Subcontract General Budget - 20,500.00 0.00 0.00 <br /> Travel General Budget 600.00 823.23 823.23 <br /> F&A -- General Budget @26% 10,889.00 326.59 3,243.26 <br /> Total 54,870.00 1,707.50 15,842.15 <br /> Please pay this amount: 1,707.50 <br /> • <br /> "I certify that all expenditures re/gortgd(or payments requested) <br /> are for appropriate purposes4nd in.iaccordance with the <br /> provisi ns,of the applicatigii and a ward`document. <br /> at,i/ti7 /Z171/7:&%,1 17/9///7 -- <br /> Certification Signature Date <br /> To ensure proper credit please indicate the invoice <br /> number and PI Name on your remittance. <br /> For inquiries regarding this billing,please contact: <br /> Maly Her <br /> ADM VCR OGC Administration - Academic Support Professional <br /> maly.her @ucdenver.edu <br /> IRS Tax ID No: 84-6000555 <br /> t iD.._.* <br /> _ \ 1 I CpLA <br /> 4 <br /> 0\t( 1 \...,„ <br /> i <br />