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f ~ <br />. + . <br />S1.:1::.UUL:~ 1 0 <br />CASY, Ri:CO::CILIA'iIC:~ <br />;SO\TH OF 19_ <br />S <br />1. Allowable Cost of Contract Service (from Schedule 8, Line ) <br />2. Less: Revenue ~111ocated to Contract Service S <br />(f rota Schedule 9, Line ) <br />Advances Received During :Month: <br />3. Payroll ~`1 <br />4. Payroll lr2 <br />S. Payroll 'v'3 <br />6. Estimate of Other Allowable Costs <br />7, Amount Due (Overpa}'ment) for `ionti~ of ~- <br />Note: Amount due or overpavent (line 7) will be applied to <br />estimate of oft~er allowable costs submitted on first <br />of next month. <br /> <br />._.,,.. <br />