Billed Entity:
132940
FRN:
2199058839
Funding Year:
2021
470#:
210026585
471#:
211038049
SPIN:
143005588
Category of Service:
INTERNAL CONNECTIONS MNT
Status:
Funded
FCDL Date:
2021-09-30
Wave:
25
FCDL Comment:
MR1:The amount of the funding request was changed from $10,530.00 to $3,474.90 to remove the ineligible product or service: Make - Forticare, Model - FC-10-01006-950-02-12; the ineligible use of 67%.
Service Start Date (471):
2021-08-09
Service Start Date (486):
2021-08-09
Committed Amount:
$1,389.96
Last Date of Service:
2022-08-08
Disbursed Amount:
$1,389.96
Payment Mode:
BEAR
Remaining:
$0.00
Last Date to Invoice:
2023-01-30

Original
Committed
Monthly Cost:
$0.00
$0.00
Ineligible Monthly Cost:
$0.00
$0.00
Months of Service:
11
11
Annual Recurring Charges:
$0.00
$0.00
One Time Cost:
$10,530.00
$10,530.00
One Time Ineligible Cost:
$0.00
$3,474.90
Total Cost:
$10,530.00
$3,474.90
Discount Percent:
40
40
Requested Amount:
$4,212.00
$1,389.96