Filetype Excel XLSX | Posted on 09 Aug 2022 | 3 years ago
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192x Filetype XLSX File size 0.04 MB Source: dss.mo.gov
Missouri Department of Social Services
Division of Finance & Administrative Services
P. O. Box 1643, Jefferson City, MO 65102-2320
W&CI.Invoices@dss.mo.gov
SFY 2023 DVSS Monthly Expenditure Report
Agency: Provider Month/Year:
Program Period: J u ly 1, 2022 - June 30, 2023
Budget Allocations
Domestic Violence Domestic Violence Emergency Shelter Sexual Violence Domestic Violence Support Survivors of COVID Testing and Federal Amount
BUDGET LINE ITEMS (GR) (TANF) (TANF) (GR) (ARPA) Sexual Assault Mitigation (FVPSA)
(ARPA) (ARPA)
ADMINISTRATIVE COSTS
Indirect Rate $ - $ - $ - $ - $ - $ - $ - $ -
PROGRAM COSTS
Personnel: $ - $ - $ - $ - $ - $ - $ - $ -
Benefits: $ - $ - $ - $ - $ - $ - $ - $ -
Training/Travel $ - $ - $ - $ - $ - $ - $ - $ -
Equipment $ - $ - $ - $ - $ - $ - $ - $ -
Supplies & Operations $ - $ - $ - $ - $ - $ - $ - $ -
Contractual $ - $ - $ - $ - $ - $ - $ - $ -
Total Budget: $ - $ - $ - $ - $ - $ - $ - $ -
Current Period's Expenditures
Domestic Violence Domestic Violence Emergency Shelter Sexual Violence Domestic Violence Support Survivors of COVID Testing and Federal Amount
BUDGET LINE ITEMS (GR) (TANF) (TANF) (GR) (ARPA) Sexual Assault Mitigation (FVPSA)
(ARPA) (ARPA)
ADMINISTRATIVE COSTS
Indirect Rate $ - $ - $ - $ - $ - $ - $ - $ -
PROGRAM COSTS
Personnel: $ - $ - $ - $ - $ - $ - $ - $ -
Benefits: $ - $ - $ - $ - $ - $ - $ - $ -
Training/Travel $ - $ - $ - $ - $ - $ - $ - $ -
Equipment $ - $ - $ - $ - $ - $ - $ - $ -
Supplies & Operations $ - $ - $ - $ - $ - $ - $ - $ -
Contractual $ - $ - $ - $ - $ - $ - $ - $ -
Total Program Costs: $ - $ - $ - $ - $ - $ - $ - $ -
TOTALS $ - $ - $ - $ - $ - $ - $ - $ -
Invoice Total: $ -
This expenditure report is to be submitted with your agency's monthly billing invoice and is due by the 15th day of the month.
Please note: we will no longer accept faxed copies.
Mail original documents with original signatures to:
Missouri Department of Social Services
Division of Finance & Administrative Services
P.O. Box 1643
Jefferson City, MO 65102
W&CI.Invoices@dss.mo.gov
I hereby certify that this information is true and correct:
Preparer's Signature Date
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