Common use of INVOICE AND PAYMENT Clause in Contracts

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status 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 P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13, B-13A, and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx, XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx

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

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

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

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

INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at xxxx://xxx.xxxx.xxxxx.xxx/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by electronic mail to the required servicesaddress/deliverablesnumber below. 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, and Match Certification Forms Reports should be mailed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 ATTACHMENT A STATEMENT OF WORK EMAIL: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13, B-13A, B-13 and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx, XXXXxxxxx@xxxx.xxxxx.xxx XXXXxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxxXXXXxxxxx@xxxx.xxxxx.xxx

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

INVOICE AND PAYMENT. A. Grantee will request payment using the State of Texas Purchase Voucher (Form B-13) on a monthly basis and acceptable supporting documentation for reimbursement of the required services/deliverables. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status 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 P.O. Box 149347 AustinX.X. Xxx 000000 Xxxxxx, TX XX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx B-13, B-13A, and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx, XXXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx

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

INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at xxxx://xxx.xxxx.xxxxx.xxx/grants/forms.shtm. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status 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 P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xx.xx B-13, B-13A, and supporting documentation should be sent emailed to: xxxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx xxxxxxxx@xxxx.xxxxx.xx.xx & XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xx.xx FSR should be sent emailed to: xxxxxxxx@xxxx.xxxxx.xxxxxxxxxxx@xxxx.xxxxx.xx.xx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx, XXXXxxxxx@xxxx.xxxxx.xxx xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xx.xx & XXXXxxxxxxx@xxxx.xxxxx.xxxXXXXxxxxx@xxxx.xxxxx.xx.xx

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

INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at h ttp://xxx.xxxx.xxxxx.xxx/xxxxxx/xxxxx.xxxx. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxxi xxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx C XXXxxxxxxx@xxxx.xxxxx.xxx B-13, B-13A, and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxxi xxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx P xx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: xxxxxxxx@xxxx.xxxxx.xxxi xxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx, XXXXxxxxx@xxxx.xxxxx.xxx F XXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxxC XXXxxxxxxx@xxxx.xxxxx.xxx

INVOICE AND PAYMENT. A. Grantee X. Xxxxxxx will request payment reimbursement using the State of Texas Purchase Voucher (Form B-13) on a monthly basis at h ttp://xxx.xxxx.xxxxx.xxx/xxxxxx/xxxxx.xxxx. Voucher and acceptable supporting documentation for reimbursement of will be mailed or submitted by fax or electronic mail to the required servicesaddress/deliverablesnumber below. Additionally, the Grantee will submit the Financial Status Report (FSR-269A) and the Match Certification Form (B-13A). Vouchers, supporting documentation, Financial Status Reports, and Match Certification Forms should be mailed mailed, faxed, or emailed to the addresses below. : Department of State Health Services Claims Processing Unit, MC 1940 0000 Xxxx 00xx Xxxxxx P.O. Box 149347 Austin, TX 00000-0000 FAX: (000) 000-0000 EMAIL: xxxxxxxx@xxxx.xxxxx.xxxi xxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx C XXXxxxxxxx@xxxx.xxxxx.xxx B-13, B-13A, and supporting documentation should be sent to: xxxxxxxx@xxxx.xxxxx.xxxi xxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx P xx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxx FSRs should be sent to: xxxxxxxx@xxxx.xxxxx.xxxi xxxxxxx@xxxx.xxxxx.xxx, Xxx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxxP xx.xxxxxxxxxxxxxx@xxxx.xxxxx.xxx, XXXXxxxxx@xxxx.xxxxx.xxx F XXXxxxxx@xxxx.xxxxx.xxx & XXXXxxxxxxx@xxxx.xxxxx.xxxC XXXxxxxxxx@xxxx.xxxxx.xxx

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

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

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