WebCheck boxes confirming items are attached. The report must be accompanied by a Claim For Payment (AC3253-S) and appropriate documentation that supports the expenditures reported. * Funds Obligated: Amount of the approved contracts awarded, orders placed for goods and services and similar transactions that will require payment by the grantee. WebClaim For Payment (AC3253-S), dated [Date] in the amount of [Amount]. 2. A completed . Capital Projects Expenditure Report (PAS-35), dated [Date]. 3. AIA Form 702 . for payment # [payment number], signed and notarized by the contractor and signed with the amount certified by the project architect. 4. AIA Form 703
Forms for State Agencies and Employees - Office of the New …
WebClaim For Payment Submission Portal: Click Here. Agency Claim for Payment Voucher - AC3253-S Course Sponsor Claim for Payment Voucher - AC3253-S Proctor Claim for … WebThe following tips can help you fill in Fillable Ac3253 Form easily and quickly: Open the form in the full-fledged online editor by clicking Get form. Complete the necessary boxes that are marked in yellow. Click the arrow with the inscription Next to move on from field to field. Use the e-autograph tool to add an electronic signature to the form. park roche resort \u0026 wellness
NORC/NNORC VOUCHERING PROCEDURE - Office for the …
WebAug 1, 2014 · Download Fillable Form Ac3253-s In Pdf - The Latest Version Applicable For 2024. Fill Out The Claim For Payment - New York Online And Print It Out For Free. Form Ac3253-s Is Often Used In Office Of The … WebAC3253-S (Effective 1/12) Vendor Name State Zip Code Quantity Price Amount Total Discount % Vendor's Signature in Ink Title. Net. Date Name of Company. Vendor Identification Number Vendor Location ID Vendor Address Se quence Voucher ID Business Unit Name Bus. Unit Contract ID ... claim for payment. WebAll claims submitted for reimbursement of expenses and/or to account for the use of an advance must include the following: NYS CLAIM FOR PAYMENT (AC3253-S) This form … park roanoke hours