Universal Service - Rural Health Care Program

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Overview

Help Guide
Invoice
Invoice Report
Sheet1

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Sheet 1: Help Guide

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Sheet 2: Invoice

		Project Name		Test Project 4								Choose return option: 1)Email: [email protected] 2)Mail: RHC Pilot Program 100 South Jefferson Road Whippany, New Jersey 07981 3)Fax: 973-599-6518			FOR RHCD USE ONLY
		SPIN													Header Verification
		Vendor Name														RHCD Processed Date
		Vendor Invoice Number														Number of Records
		Invoice Date to RHCD (mm/dd/yy)														Number of Records Approved
		Total Invoice Amount			$0.00											RHCD Approved Total Amount
		FCL Amount Remaining Before This Invoice:			$0.00										09/23/08	Generated Date
		Funding Year
		HCP Number			00004			Amount committed on NCW and remaining after previously submitted invoices				Items Requested This Invoice			RHCPP Support Amount
		FRN
	DELETE	1. Invoice ID	2. NCW ID	3. Category	4. Sub Category	5. Item	6. Comments	7. Total # of Items / Months Remaining	8. Committed Total Cost per Item / Month (100%)	9. Total Eligible Cost (%)	10. Total Funds Remaining	11. Total # of Items / Months Requested	12. Total Actual Cost Per Item (100%) (as invoiced by vendor)	13. Total Eligible Cost ($) (total actual cost * %eligible)	14. RHC Funding % Requested (max 85%)	15. Support Amount to be paid by USAC (max 85%)		FRN	Code
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Sheet 3: Invoice Report

"FRN"

FRN

Test Project 4 Invoicing Report

10000

20000

20000

FRN:

Total Amount Committed:

$-

Funding Year:

Total Amount Invoiced:

$-

Service Provider:

Total Amount Remaining:

$-

SPIN:

Report Date:

09/23/08

NCW ID

Category

Sub-Category

Component

Speed

Comments

Num of Items Committed

Cost Per Item

Num of Items Invoiced

Num of Items Remaining

$ Committed

$ Invoiced

$ Remaining

Funding Year

SPIN

FRN

NCW ID

SP Name

Category

Sub-Category

Item

Speed

Comments

# Committed

Committed Cost

# Invoiced

# Remaining

Total $ Committed

Total $ Invoiced

Total $ Remaining

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Sheet 4: Sheet1

This is a test document.