Common use of INVOICE AND PAYMENT Clause in Contracts

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13) and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). Vouchers, supporting documentation, and Financial Status Reports should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 Xxxxxx, XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 28 contracts

Samples: Interlocal Cooperation Contract, Interlocal Cooperation Contract, Interlocal Cooperation Contract

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INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s B-13, B-13A, and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xxx, & XXXXxxxxxxx@xxxx.xxxxx.xxx. XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: xxxxxxxx@xxxx.xxxxx.xxx, XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 13 contracts

Samples: Department of State Health, Department of State Health Services, State Health Services

INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) monthly and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), at the end of the fourth quarter. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 9 contracts

Samples: Health Services, Health Services, Health Services

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xx.xx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xx.xx B-13, B-13A, and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xx.xx & XXXXxxxxxxx@xxxx.xxxxx.xxx. Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xx.xx FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xx.xx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xx.xx & XXXXxxxxxxx@xxxx.xxxxx.xxx.XXXXxxxxx@xxxx.xxxxx.xx.xx

Appears in 9 contracts

Samples: contracts.hhs.texas.gov, contracts.hhs.texas.gov, contracts.hhs.texas.gov

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), at the end of the fourth quarter. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 7 contracts

Samples: Health Services, Health Services, Health Services

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), as requested by DSHS. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 Xxxxxx, XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s B-13 and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 6 contracts

Samples: Department of State Health Services, Health Services, Department of State Health Services

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269AFSR- 269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), at the end of the fourth quarter. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 4 contracts

Samples: contracts.hhs.texas.gov, contracts.hhs.texas.gov, contracts.hhs.texas.gov

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269AFSR- 269A). Additionally, the Grantee with submit the Match Certification Form (B-13A), as requested by DSHS. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s B-13 and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 3 contracts

Samples: Health Services, Department of State Health Services, destinyhosted.com

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), as requested by DSHS. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s B-13 and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 2 contracts

Samples: Health Services, agendalink.co.fort-bend.tx.us:8085

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13) and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). Vouchers, supporting documentation, and Financial Status Reports should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 Xxxxxx, XX 00000-0000 FAX: (000) 000-0000 ATTACHMENT A STATEMENT OF WORK EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 2 contracts

Samples: Interlocal Cooperation Contract, Interlocal Cooperation Contract

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) monthly and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), at the end of the fourth quarter. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 Xxxxxx, XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 2 contracts

Samples: contracts.hhs.texas.gov, contracts.hhs.texas.gov

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INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 Xxxxxx149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s B-13, B-13A, and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xxx, & XXXXxxxxxxx@xxxx.xxxxx.xxx. XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: xxxxxxxx@xxxx.xxxxx.xxx, XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 1 contract

Samples: contracts.hhs.texas.gov

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), at the end of the fourth quarter. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 Xxxxxx149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 1 contract

Samples: Health Services

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269AFSR- 269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), as requested by DSHS. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s B-13 and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 1 contract

Samples: contracts.hhs.texas.gov

INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx will request payment monthly reimbursement using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Additionally, the Grantee will submit the Financial Status Report Reports (FSR-269A)) on a quarterly basis. Vouchers, supporting documentation, and Financial Status Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s xxxxxxxx@xxxx.xxxxx.xx.xx and xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xx.xx B-13 and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xx.xx & XXXXxxxxxxx@xxxx.xxxxx.xxx. Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xx.xx FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xx.xx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xx.xx & XXXXxxxxxxx@xxxx.xxxxx.xxx.XXXXxxxxx@xxxx.xxxxx.xx.xx

Appears in 1 contract

Samples: agendalink.co.fort-bend.tx.us:8085

INVOICE AND PAYMENT. A. Grantee Local Government will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269AFSR- 269A). Vouchers, supporting documentation, documentation and Financial Status Reports should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 XxxxxxP.O. Box 149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xxx; XXXXxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s Xxxxxxxx.Xxxxx@xxxx.xxxxx.xxx B-13 and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 1 contract

Samples: Health Services

INVOICE AND PAYMENT. A. Grantee will request payment monthly using the State of Texas Purchase Voucher (Form B- 13B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. The Grantee will submit the Financial Status Report (FSR-269AFSR- 269A). Additionally, the Grantee will submit the Match Certification Form (B-13A), as requested by DSHS. Vouchers, supporting documentation, and Financial Status Reports Reports, and Match Certification Forms should be mailed or emailed to the addresses below. Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx X.X. Xxx 000000 Xxxxxx149347 Austin, XX TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13s B-13 and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx. XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx.

Appears in 1 contract

Samples: Health Services

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