ࡱ> +-, L\p Keita Laine Ba==%^8X@"1Arial1* MS Sans Serif1* MS Sans Serif1* MS Sans Serif1* MS Sans Serif1Arial1Arial1Arial1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)(               ( ( &    ( " @ ( @@ ( @ (  @ ( @ ( ( (  @ ( ( ( @ ( ( "@@ ( " @ ( ! ( !0 @ (! (!0" @ ( !0@ ( @ ( !0 ( !0 " @ (!0 @ ( !0@@ ( @ (  @ ( !8@ ( !0  @ ( ( ( @@ ( !0 (  (  ( !8@@ (!0@@ ( !0@ ( !8@ (  ("0"@@ ("0""@ @ ("0"@ ( "0"@@ (  ( !8 @ ( !0 ("0"@@ ("0 " @ ("0@ ("0 ("0 ( "8@@ ( "8@ ( "8  @  ( (@  ( (  ( 8  ( (  (  8 ``i̜̙3f3333f3ffff333ff333f33f33BBB\` 14828--DATEBY:XTotal state grant: $Expense(s) incurred: $PAYEE #Date:PROJ #CERT # ACCOUNT CODE:FUNDAPPROPPROGSPROGAMOUNT VOUCHER #AUDITED:STUDY & SURVEY CLAIM FORMACCOUNTING APPROVAL:6CLAIMANT CERTIFICATE: I HEREBY CERTIFY UNDER PENALTY 7OF PERJURY THAT THE ITEMS AND TOTALS LISTED HEREIN ARE 7PROPER CHARGES TO THE STATE OF WASHINGTON AND THAT ALL 6DISCRIMINATION ON THE GROUNDS OF RACE, CREED, COLOR, Claimant Address: USE ONLYOBJECT SUB OBJECT-School District Number ______ (Signature of Claimant's Authorized Agent Reviewed by Financial Consultant2Reimbursement to__________________________________:Approved by Director School Facilities & OrganizationNATIONAL ORIGIN, SEX, OR AGE.Claimant Name:Mfor state study and survey grant per attached statement of expenses incurred.4GOODS & SERVICES FURNISHED HAVE BEEN PROVED WITHOUT BILLING DATESchool Facilities Accounting2 Superintendent of Public Instruction% Old Capitol Building; PO Box 47200 Olympia WA 98504-7200 ! PO Box 47200* Olympia WA 98504-7200/Send form to: School Facilities & OrganizationForm SPI 1482 (12/03)2  pS #acc L 2"O*.  dMbP?_*+%&?'?(?)?M\\srv-prt01\PRT-HP-4600C-PS-02$S obXXLetterPRIV0''''` \KhC%TRJPHAAJTELLER BAPHAA"b??U} } $} }  } I} } } } 2  @ N @ @ @           @   ;@ ;@  J@ J@ ;@              @ GHHHHHHHI JKK L%LLLLM D&EEEEEEEF D$EEEEEEEF D'EEEEEEEFA) 7  6  / '  /   ) /"   ' /    /    9 45  $ #  # # !(((((( 78 +%# %BX(2(((F:F:::::. &. ""  @ ! @ " @ # @ $  % @ & @ ' @ (  ) * +  , - . / 01 ,-----. ! * !@! !1 !!!*"2-----. "!"* #$# ##0 $$ %; %< %= %< %B%C %> %! %"&$&  $'$&  $!" )3)444445 )) * +4+444445 , - .+. /?, /(0: 0) 1*( T0H0<(v<(>@*%%7ggD Oh+'0 X`t  A19SIGN.XLSSIGNATURE REQUIRED ON A19Melanie Buechel Keita LaineMicrosoft Excel@Ejv@OJn{GQ  R  0  '' ' /~}h- ~}h ~}h-- @ !-$$- @ !$-44- @ !4-BB- @ !B-RR- @ !R-bb- @ !b-tt- @ !t-- @ !-- @ !-- @ !-- @ !-- @ !-/- @ !.-ee- @ !e-- @ !-- @ !-- @ !-..- @ !.-  @ !- ~}h-- @ !-- @ !- Arial-  2  1} 2 $ %42} 2 2 5B3} 2 B CR4} 2 R Sb5} 2 c 6} 2 u 7} 2 8} 2 9} 2 10 2 11 2 <A} 2 ~B} 2 C} 2 D} 2 E} "System@7-'- / Arial- Arial--'- 4/% R2 "2 Superintendent of Public Instruction        -'- /- 2 Claimant Name:    !2 Claimant Address:   -'- b/S +2 R Olympia WA 98504-7200   --'- $/ -2 STUDY & SURVEY CLAIM FORMi      --'- B/5 ?2 2% Old Capitol Building; PO Box 47200     -'- R/C 12 BSchool Facilities Accounting  -'- /-'- /-   @ !e @ !G @ ! @ !s @ !- -'- /-'- /-  -/- @ !/-- @ !-'՜.+,0HP X`hp x  1482  Worksheets  "#$%&'(Root Entry FWorkbookK/SummaryInformation( DocumentSummaryInformation8!Root Entry Fp !{.@WorkbookK/SummaryInformation( DocumentSummaryInformation8$  ՜.+,D՜.+,HP X`hp x  1482  Worksheets4 $,