Invoice Reimbursement Form

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MONTEREY COUNTY

Monterey County CARES


Small Business Relief Program (SBRP)
Invoice for Expense Reimbursement
Instructions:
1. List and total the eligible expenditures for which you would like to be reimbursed
2. Attach copies of original receipts or other proof of purchase (in PDF, JPEG, or PNG file formats)
3. If you are uploading this invoice and corresponding receipts with your online application, be aware that:
a. Payment of this invoice is NOT guaranteed and will only be made if:
i. Your application has been approved and you have received confirmation of that approval
ii. You have submitted a signed SBRP Agreement (which you will receive once your application is approved)
iii. You have submitted a completed and signed Vendor Data Record (VDR) (which you will receive once your application is approved)
4. If your application has already been approved and you have submitted a signed Agreement and VDR:
a. Ensure all expenses submitted are eligible for reimbursement according to the SBRP guidelines
i. Eligible expenses may include payroll, rent/lease, or inventory expenses made during stated period of economic impact on the
business
b. Ensure the total number of expenses submitted for reimbursement does not exceed the maximum amount of your grant award
c. Send this invoice and receipts via email to mcsbg@co.monterey.ca.us

Invoice Date:

Business Name:

Legal Entity Name (associated with Tax ID):

Contact Name: Contact Phone: Contact Email:

EXPENDITURES TO BE REIMBURSED
Date of Expense Expenditure Description Expense Amount
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL $0.00

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