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Re Haven of Grace April Invoice Attachment 4 18 2017 PDF

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Preview Re Haven of Grace April Invoice Attachment 4 18 2017

Alternatives to Abortion Invoice Contract # CS170042004 Vendor Name: The Haven of Grace Vendor Number: 43161118100/MB00097920 Vendor Address: 1225 Warren St. Louis, MO 63106 Bill To: Office of Administration Commissioner's Office 201 W. Capitol Ave, Room 125 Jefferson City, MO 65101 Invoice Number: Invoice Date: Service Period: Monthly Total Contracted Prior Invoiced Award Allocation Total Amount $ 132,565.40 $ - $ 26,513.08 Quarterly expenditure adjustment: $ - Total Due: $ 26,513.08 Allocation Remaining $ 106,052.32 Signature: ________________________________________________ The Haven of Grace 1225 Warren St. Louis, MO 63106

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