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Request for Disbursement of Contributions <br />Platte River Recovery Implementation Program <br />General Fund <br />To: Nebraska Community Foundation <br />From: The Governance Committee through the Executive Director <br />Subject: Disbursement of Contributions, Cooperative Agreement No. R99 -AC- 60001, <br />Technical And Administrative Support to the Governance Committee and Executive <br />Director for the Platte River Recovery Implementation Program <br />Request No. #298 Date: October 8 2012 <br />Please disburse contributions held for the Platte River Recovery Implementation Program, Platte <br />River General Fund in the amount(s) shown below to the indicated parties: <br />Payee Amount <br />1. Headwaters Corporation, Invoice #103 $11,113.37 <br />for the following purpose(s) /reason(s): <br />1. Expenses incurred by Headwaters Corporation for the month of September 2012 <br />associated with a variety of Program Tasks outside of the Executive Director's Staff <br />Task line item (ED -1). These expenses are documented by task in the accompanying <br />invoice, and relate primarily to administrative support and outreach expenses; <br />telephone conference charges for committee, advisory committee, or work group <br />calls; monthly equipment usage fees; T &P monitoring expenses, and utility and <br />maintenance expenses associated with Program lands. <br />Approval(s) 6 <br />`' - <br />ants and Cooper6tive Agreements Officer's Date <br />Technical Representative <br />