Lempiras GG014328-17 El SalvadorELS 65315 Local Travel 65315 Local Travel Edwin Girón to $1.00 until $.

5,000

Name: Dólares GG014328-15 Honduras ELS 65315 Local Travel 65315 Local Travel Edgardo Zárate to $.5,001 until $.70,000 Documento
Office
Quetzales GG014328-23 Nicaragua NIC 61910 Furniture 61910 Office Furniture Factura
Consultant
Reason for refund: GG014328-19 Guatemala GT 64505 Fee 64505 Consultant Fee Edgardo Zárate to $.1 until $.5,000 Recibo
Reimbursement GG014328-21 Brasil BR
Currency Quetzales 63010 Office Rent 63010 Office Rent Ricardo Mendizabal to $.5,001 until $.70,000 Planilla

Date
Informatics
64005 Center 64005 Informatics Center F. Especial
Printing -
No. Tipo Document Serial & Number Date Supplier Description Details Proyect Activity Account Number Total Amont Tools /
Technical
62025 Materials 62025 Printing - Tools / Technical Materials

Per diem (see details below) GG014328-17 El Salvador

Printing -
1 65315 Local Travel - 237 (237.00) 62025 Other 62025 Printing - Other

GG014328-17 El Salvador
Print &
Desing of
2 65315 Local Travel 325.00 300 25.00 62025 Bulletins 62025 Print & Desing of Bulletins
Database
3 65315 Local Travel 525.00 326 199.00 64005 Conexion 64005 Database Conexion

BlueRaster
Tracking and
Detecting Hot
4 65315 Local Travel 650.00 298 352.00 64005 Spots 64005 BlueRaster Tracking and Detecting Hot Spots

Blue Raster
5 62025 Printing - Other 35.00 64005 App for PrEP 64005 Blue Raster App for PrEP
Professional
Services /
Service
Agreement -
6 64005 Database Conexion 40.00 327 (287.00) 64005 Other 64005 Professional Services / Service Agreement - Other

7 296 (296.00) 64320 Translation 64320 Translation

Publication
8 GG014328-17 El Salvador 296 (296.00) 62005 Fees 62005 Publication Fees
PowerBI
9 296 (296.00) 63260 Licenses 63260 PowerBI Licenses

Maintenance
10 296 (296.00) 66000 Office 66000 Maintenance Office

Vehicle
Rental -
Technical /
Programmati
11 296 (296.00) 63120 c 63120 Vehicle Rental - Technical / Programmatic
Meeting /
Training /
12 296 (296.00) 64350 Workshop 64350 Meeting / Training / Workshop

13 296 (296.00) 66000 Others 66000 Others

14 296 (296.00)

15

16

17
18
19

20
21

22 296 (296.00)

23

24

25
26

27 296 (296.00)
TOTAL 1,575.00
Per diem 0
PER DIEM - M&IE-International

City Date
Breakfast Lunch Dinner Incidental TOTAL # Invoice Summary Total
15% 25% 40% 20% 4 65315 Local Travel 1,500.00
75% Per diem $0.00 0 61910 Office Furniture -
$0.00 $0.00 $0.00 $0.00 $0.00 0 64505 Consultant Fee -
$0.00 $0.00 $0.00 $0.00 $0.00 0 63010 Office Rent -
$0.00 $0.00 $0.00 $0.00 $0.00 0 64005 Informatics Center -
$0.00 $0.00 $0.00 $0.00 $0.00 0 63410 Mobile Data / Airtime -
0 62025 Printing - Tools / Technical -
$0.00 $0.00 $0.00 $0.00 $0.00 Materials
75% Per diem $0.00 1 62025 Printing - Other 35.00
$0.00 0 62025 Print & Desing of Bulletins -
1 64005 Database Conexion 40.00
96 0 64005 BlueRaster Tracking and -
Per diem Detecting Hot Spots
0 64005 Blue Raster App for PrEP -
0 64005 Professional Services / Service -
LOCAL PER DIEM - M&IE Agreement - Other
Breakfast Lunch Dinner Incidental TOTAL 0 64320 Translation -
City Date
0 62005 Publication Fees -
- - - - - 0 63260 PowerBI Licenses -
- - - - - 0 66000 Maintenance Office -
0 63120 Vehicle Rental - Technical / -
- - - - - Programmatic
0 64350 Meeting / Training / -
- - - - - Workshop
- - - - - 0 66000 Others -

6 TOTAL 1,575.00
Total - - - - -

Requestor´s Name Job Title Signature / Date

Arnaldo Velásquez Financial Assistant

Reviewed by:
Name Job Title Signature / Date

Edgardo Zárate to $.5,001 until $.70,000 F&A Officer

Approval by:
Name Job Title Signature / Date

Edgardo Zárate to $.1 until $.5,000 F&A Director