jagomart
digital resources
picture1_Excel Invoice Template Free Download 46402 | Ab1058 Reporting Forms 2021 22


 135x       Filetype XLSX       File size 0.30 MB       Source: www.courts.ca.gov


File: Excel Invoice Template Free Download 46402 | Ab1058 Reporting Forms 2021 22
sheet 1 invoice state of california judicial council of california jc1invoice rev 0821 invoice send to grant accounting 455 golden gate avenue 6th floor san francisco ca 94102 ab1058invoice judcagov ...

icon picture XLSX Filetype Excel XLSX | Posted on 18 Aug 2022 | 3 years ago
Partial file snippet.
Sheet 1: Invoice 

















STATE OF CALIFORNIA








JUDICIAL COUNCIL OF CALIFORNIA




JC-1-INVOICE (REV 08-21)

INVOICE














SEND TO:
GRANT ACCOUNTING











455 GOLDEN GATE AVENUE, 6th FLOOR














SAN FRANCISCO, CA 94102














AB1058.Invoice@jud.ca.gov




































SUPERIOR COURT OF CALIFORNIA, COUNTY OF




CONTRACT NUMBER:



















ADDRESS:


BILLING PERIOD:



































































PROGRAM TITLE:





















PROGRAM PERIOD:

JULY 1, 2021 TO JUNE 30, 2022 FISCAL YEAR 2021-22

































































ACCOUNTING CONTACT:





PHONE NUMBER:



















E-MAIL ADDRESS:





FAX NUMBER:



















































PROGRAM EXPENDITURES (FUND REQUESTED)

CATEGORY AMOUNT

PERSONNEL (Salaries & Benefits)

OPERATING EXPENSES & EQUIPMENT

INDIRECT COSTS

TOTAL EXPENDITURES -

TOTAL REIMBURSABLE AMOUNT

































































CERTIFICATION:
I HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT THE AMOUNT BILLED ABOVE IS TRUE AND CORRECT IN














ACCORDANCE WITH THE CONTRACT.




























COURT OFFICIAL (NAME & TITLE) :






















SIGNATURE:




DATE





ERROR: INPUT PROGRAM TITLE ABOVE

























(This document may be signed using an electronic signature, as defined in CRC, rule 2.257(a). By typing your name into the signature
line and entering the date, you are attesting to signing this document under the penalty of perjury under CRC, rule 2.257(b).)


































FOR JC GRANT ACCOUNTING USE ONLY

































REC'D:

PROGRAM:




CONTRACT NO.:



















INVOICE DATE:

INVOICE NO.:




AMOUNT: $






































PROGRAM MANAGER APPROVAL






DATE



































Sheet 2: Invoice Instructions
STATE OF CALIFORNIA
JC-1-II (REV 08-21) FAMILY LAW FACILITATOR PROGRAM



INVOICE INSTRUCTIONS

CHILD SUPPORT COMMISSIONER PROGRAM

FAMILY LAW FACILITATOR PROGRAM
Original signed invoice is required to process a claim for payment (use blue ink). Do not add or delete any item or category. ALTERED FORMS WILL NOT BE USED FOR PROCESSING CLAIMS FOR PAYMENTS.

Do not highlight, write any notes, comments, instructions, journal entry numbers, accounts receivable numbers, or Phoenix accounting coding numbers (WBS numbers). The SCO scan the invoice for issuing warrant and does not accept invoice with notes, comments, instructions, journal entry numbers, accounts receivable numbers, WBS numbers, or other numbers- for issuing payments.


SUPERIOR COURT OF CALIFORNIA, COUNTY OF: Enter county name.


ADDRESS: Enter court address where the payment is to be sent.


CONTRACT NUMBER: Enter grant contract number as it appears on the contract.


BILLING PERIOD: Enter month and year.


PROGRAM TITLE: Select the program title from the dropdown list.


PROGRAM PERIOD: July 1, 2021 through June 30, 2022.


FISCAL YEAR: 2021-22


COURT ACCOUNTING CONTACT: Enter court accounting contact person's name who will be able to answer billing questions.


PHONE NUMBER: Enter court accounting contact person's phone number.


EMAIL ADDRESS: Enter court accounting contact person's e-mail address.


FAX NUMBER: Enter court accounting contact person's fax number.


PERSONNEL: Enter total costs of court employees payroll expenses (salary and benefits) claimed for this billing period. This amount should match the amount reflects on the summary sheet which is the total of total program salary and benefits.


OPERATING EXPENSES & EQUIPMENT: Enter the operating expenses claimed for this billing period. This should match the amount reflected on the summary sheet which matches the expenses reported on the operating expense recap sheet.


INDIRECT COSTS: Enter indirect costs claimed for this billing period.


TOTAL EXPENDITURES: Enter total of all items above (personnel, operating expenses, and indirect costs).


TOTAL REIMBURSABLE AMOUNT: Enter the total amount to be reimbursed to court. This amount should match the calculated amount of base and federal drawdown option funds reflected on the Summary Sheet.


CERTIFICATION: The invoice includes the following required certification: “I hereby certify under penalty of perjury that the amount billed above is true and correct in accordance with the contract." This certification may not be removed or modified.


COURT OFFICIAL NAME AND TITLE: Enter court official's name and title who is authorized to sign the invoice.


SIGNATURE: Authorized court official's signature.


DATE: Enter the date the invoice is signed.

Sheet 3: Summary Sheet
STATE OF CALIFORNIA





JC-2-SUMMARY SHEET (REV 08-21)












JUDICIAL COUNCIL OF CALIFORNIA
SUMMARY SHEET







COURT NAME:









PROGRAM TITLE:









FISCAL YEAR: 2021-22 REPORTING PERIOD:





















A B C D E F
CATEGORY BUDGET PREVIOUSLY
BILLED
CURRENT
EXPENDITURE
YTD
EXPENDITURE
BALANCE
SALARIES


- -
BENEFITS


- -
UNFUNDED CalPERS PREMIUM





WORKERS' COMPENSATION





TOTAL PERSONNEL EXPENSE - - - - -







INDIRECT COSTS 20.00% - - - - -
INDIRECT COSTS ADJUSTMENT



- -
TOTAL INDIRECT COSTS
- - - - -







OPERATING EXPENSES




CONTRACT FACILITATOR


- -
CONTRACT COURT REPORTER


- -
CONTRACT INTERPRETER


- -
OTHER CONRACT



- -
SUBTOTAL
- - - - -







COUNTY SERVICES


- -
OFFICE SUPPLIES


- -
TRAVEL/TRAINING/REGISTRATION


- -
EQUIPMENT RENTAL/LEASE


- -
IT REPAIR/MAINTENANCE


- -
RENT/STORAGE


- -
SECURITY: PERIMETER


- -
SECURITY: BAILIFF


- -
OPERATING EXPENSE % RATE ADJUSTMENT





SUBTOTAL
- - - - -







TOTAL OPERATING EXPENSES - - - - -






-
TOTALS - - - - -







G H I J K L
FUNDING SOURCES GRANT
AMOUNT
PRIOR REIMBURSEMENT BALANCE PRIOR TO CURRENT REIMBURSEMENT CURRENT REIMBURSEMENT GRANT BALANCE
BASE AWARD 100%
- - - -
FEDERAL DRAWDOWN 100%
- - - -
FEDERAL SHARE 66% - - - - -
COURT SHARE 34% - - - - -
TOTAL REIMBURSEMENT
- - - - -

The words contained in this file might help you see if this file matches what you are looking for:

...Sheet invoice state of california judicial council jcinvoice rev send to grant accounting golden gate avenue th floor san francisco ca abinvoice judcagov superior court county contract number address billing period program title july june fiscal year contact phone email fax expenditures fund requested category amount personnel salaries amp benefits operating expenses equipment indirect costs total reimbursable certification i hereby certify under penalty perjury that the billed above is true and correct in accordance with official name signature date error input this document may be signed using an electronic as defined crc rule a by typing your into line entering you are attesting signing b for jc use only rec d no manager approval instructions jcii family law facilitator child support commissioner original required process claim payment blue ink do not add or delete any item altered forms will used processing claims payments highlight write notes comments journal entry numbers accoun...

no reviews yet
Please Login to review.