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We further understand that any fraudulent information contained on this form will result in the termination of benefits provided under this program. &Please answer the following questions: SubRecipient: Fed. ID #DUNS #: 13) Are you requesting reimbursement for software?84) Are you requesting reimbursement for a data purchase?95) Are you requesting reimbursement for maps and studies?!Office of Local Planning Services+New Jersey Department of Community Affairs Name of Project: Grant Agreement #: Request for Reimbursement This form must be filled out and signed by the authorized agent for the Subrecipient. Every Request for Reimbursement must be accompanied by invoices that include a description of the work completed as of the date of the invoice,with labor rates per person by task; timesheets signed by the employee's supervisor; and receipts for direct expenses such as copying costs, eligible equipment costs, and travel. 5th6th?1) Are you submitting the final deliverable with this request? Attach invoices showing labor costs per person, rate per hour and number of hours per task; and timesheets for the employees. Timesheets must be approved by the employee's supervisor or project manager. SignatureRFR Form August201526) Are you requesting reimbursement for equipment?L2) Are you requesting reimbursement for salaries and professional services? /7) Are you requesting reimbursement for travel?D8) Are you requesting reimbursement for reproduction/printing costs?8STATEWIDE AND REGIONAL PLANNING ASSISTANCE GRANT PROGRAM:? @@AVA7CM{DGccB g2ɀ ]Xaip  dMbP?_*+%,&C &RPage &P of &N&?'?(?)?M\\DCAS03\DCA CP70 C odXXLetter,DINU"P 6SWP SMTJ@ HP ColorP SMTJ@ HP Color LaserJet CP5220 Series PCL 6InputBinFORMSOURCERESDLLUniresDLLHPDocUISUITrueESPRITSupportedTrueHPPCompositeUSBGetSerialNumberhppdvq01.dll_getDeviceSerialNumberWHPPInstallTimeConfighppdvq01.dll_getDevicePPMDuplexerWHPPCompositeUSBFilehppdvq01.dll_getDeviceSerialNumber_getDevicePPMDuplexerResolution600dpiFastResFalseDuplexVERTICALOrientationPORTRAITHPOrientRotate180FalsePaperSizeLETTERMediaTypeAUTOCollateONHPMediaTypeTreeviewPopupTrueColorMode24bppTextAsBlackFalseTTAsBitmapsSettingTTModeOutlineJPEGEnableAutoHPEnableGrafitCompressionTrueHPRequestObjectTagDumpFalseHPRequestNullStripCommandFalseHPHybridRenderSwitchHPHybridAutoAlternateLetterHeadFalseHPPaperSizeALMConstraints4X6PrintQualityGroupPQGroup_1HPDocPropResourceDatahpchl084.cabHPColorSmartAutomaticHPColorSmart_ColorOptions_EdgeControlNormalHPColorSmart_Text_NeutralGraysBlackOnlyHPColorSmart_Graphics_NeutralGraysBlackOnlyHPColorSmart_Photo_NeutralGrays4-ColorHPColorModeCOLOR_MODEHPPDLTypePDL_PCL6HPPJLEncodingUTF8HPJobAccountingHPJOBACCT_JOBACNT_COLORAUTHHPBornOnDateHPBODHPJobByJobOverrideJBJOHPXMLFileUsedhpc52206.xmlHPEnableObjectTaggingTrueHPReverseScanLinesForDuplexTrueHPEasyColorOnHPJPEGPassthroughEnabledHP_JPEG_Artifact_ReductionEnabledHP_DIBStitch_TintTestDisabledHPEnablePageTimerFalseHPEnableNullStripsTrueHPEnableEfficientMonoFALSEHPEnableImageProcessingPathFALSEHPCallToWritePrinterRequiredTRUEHPMemoryManagerTrueHPGetCompressionRatioValue17MaxStripHeight64HPGetByteAlignedValueForWidth256HPGetDeltaRowHalfToneValue1HPManualDuplexDialogItemsInstructionID_01_FACEDOWN-NOROTATEHPPaperSizeDuplexConstraints4X6HPMediaTypeDuplexConstraintsTRANSPARENCYHPPCL6PassThroughTrueHPSmartDuplexSinglePageJobTrueHPSmartDuplexOddPageJobTrueHPManualFeedOrientationFACEUPHPOutputBinOrientationFACEDOWNHPManualDuplexDialogModelModelessHPManualDuplexPageOrderEvenPagesFirstHPMapManualFeedToTray1TrueHPManualDuplexPageRotateDriverRotateHPPrintOnBothSidesManuallyFalseHPNUseDiffFirstPageChoiceTRUEHPPageExceptionsFileHPCPE084HPPageExceptionsLowEndHPPageExceptionsLowEndVerHPPageExceptionsInterfaceShowPageExceptionsHPPageExceptionsCoverInsertionHPPrintInGrayScaleFalseHPPngPassthroughTruePSAlignmentFileHPCLS084HPSmartHub_SupportandtroubleshootingTRUEHPSmartHub_ProductmanualsTRUEHPSmartHub_CheckfordriverupdatesTRUEHPSmartHub_OrdersuppliesTRUEPSServicesOptionPrnStat_SID_242_BID_270_HID_15521PSServices_DeviceandSuppliesStatusTRUEHPSmartHubInet_SID_263_BID_514_HID_265HPConsumerCustomPaperTrueHPEnableRAWSpoolingTrueRGBColorDefault_sRGB"dXX333333?333333?&>3U} m} >} m>} $>} $ >} $ >} >} m>} $>} $>} >} I>} m]@@@;@@;@@8@Z@ J@ Z@ C@ i@ @x@@ @ @ @ @ K@ J@ @ @ @ @ h@  @ W ,W ,W ,W $ # 3 ' ( Y Zkkkk T UFFF S?????????? 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