receipt of payment

AttachmentA_ReceiptofPayment.docx

Focus Groups about the Housing Search Process for Lesbian, Gay, Bisexual, and Transgender (LGBT) People

receipt of payment

OMB: 2528-0300

Document [docx]
Download: docx | pdf

THE URBAN INSTITUTE 2100 M STREET, N.W. / WASHINGTON D.C. 20037




Receipt of Payment



I received $20.00 cash or gift card for participating in a focus group for the study under Contract No. C-NYC-00936-005. This payment is for costs associated with attending the discussion group and my time.

*********************************************************************************************************



Print Name: _____________________________________________



Signature: _____________________________________________



Date: _____________________________________________



City: ____________________________________



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorh21271
File Modified0000-00-00
File Created2021-01-28

© 2024 OMB.report | Privacy Policy