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[{"$nulls":23},"DETAIL OF MONTHLY TRANSACTIONS",{"$nulls":28},"(B)",null,"REIMBURSEMENT #:",{"$nulls":10}," "]
[{"$nulls":52},"(C) ",null,"AGENCY NUMBER:"]
["(A)",{"$nulls":51},"(D)",null,"GRANT NUMBER:"]
["                                           AGENCY NAME",{"$nulls":51},"(E)",null,"PROJECT CODE:"]
[{"$nulls":52},"(F)",null,"AGENCY REF. #:"]
[]
["(1)",{"$nulls":17},"(2)",{"$nulls":8},"(3)",{"$nulls":6},"(4)",{"$nulls":6},"(5)",{"$nulls":6},"(6)",{"$nulls":6},"(7)",{"$nulls":6}," (8)"]
["VENDOR NAME",{"$nulls":17},"FUNCTION/ OBJECT CODE",{"$nulls":8},"INVOICE DATE",{"$nulls":6},"INVOICE NUMBER",{"$nulls":6},"CHECK NUMBER",{"$nulls":6},"CHECK DATE",{"$nulls":6},"CHECK AMOUNT",{"$nulls":6},"REQUESTING AMOUNT"]
{"$rows_empty":20}
[{"$nulls":23},"                           Instructions on Back",{"$nulls":31},"Totals",{"$nulls":6},"$"]
[]
[]
[{"$nulls":8}," "]
["DOE-301"]
["REV. 4/13                                                                           "]
[]
[{"$nulls":26},"   INSTRUCTIONS"]
[]
["(A)  Name of Agency"]
[]
["(B)  Number each reimbursement report consecutively.  This number corresponds with the number on the Project Disbursement Report."]
[]
["(C)  Agency number.  This is the first three digits of the project number."]
["(D)  Grant number.  This is the middle five digits of the project number."]
["(E)  Project code.  This is the last five digits of the project number."]
["(F)  Agency reference #.  Agency's internal reference number for the project, if applicable."]
[]
[]
[{"$nulls":26},"            COLUMNS"]
[]
["(1)",null,null,"Vendor name"]
["(2)",null,null,"Function or Object Code as described in the agency's chart of accounts"]
["(3)",null,null,"Vendor's invoice date"]
["(4)",null,null,"Vendor's invoice number"]
["(5)",null,null,"Check number that was issued to vendor"]
["(6)",null,null,"Date check was issued"]
["(7)",null,null,"Total amount of check"]
["(8)",null,null,"Amount that is requested for reimbursement for this project"]
[]
[]
[{"$nulls":23},"         GENERAL INFORMATION"]
[]
["Complete in the same account number order that will correspond with the applicable Project Disbursement Report."]
[]
["The total should correspond with the respective account number on the Project Disbursement Report."]
[]
["After completing all transactions, the total of all amounts in Column 8 should equal amount being requested on Project Disbursement Report."]
[]
["A copy of all invoices/receipts must be attached to support this request.  All invoices and receipts must include a legible itemized"]
["description of purchases.  A breakdown of how requesting amount was calculated if less than 100% must also be attached."]
[]
[]
["DOE-301"]
["REV. 4/13                                                                          "]